Nord Obstetrics and Gynecology, SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NORD OBSTETRICS AND GYNECOLOGY, SC

Practice address

1505 Eastland Dr
#230
Bloomington, IL 61701-3534

Phone

(309) 663-8888

Fax

(309) 663-9544

NPI assigned

Jul 7, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel A Nord, M.D.NPI 1336144955

Title

Owner/Medical Doctor

Phone

(309) 663-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Albert Nord, MD

  • Obstetrics & Gynecology Physician
  • Bloomington, IL
  • NPI 1336144955
  Medicare reassignment Authorized official
• Richard W Wellman, MD

  • Obstetrics & Gynecology Physician
  • Bloomington, IL
  • NPI 1184629701
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043217771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "#230",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-663-8888",
            "fax_number": "309-663-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "#230",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-663-8888",
            "fax_number": "309-663-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORD OBSTETRICS AND GYNECOLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "309-663-8888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carley Nigro, LCPC, NCC
• Sheri L Noonan, P.A.-C
• Kirk William Noraian, D.D.S.
• Rachel C Norbeck
• Nord Medical Weight Loss Center
• Anna Noel Nord, DMD
• Daniel Albert Nord, MD
• Kimberly Nord, N.P.
• Lawrence A. Nord, M.D.
• Paul Nord

• Obstetrics & Gynecology Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.