Organization Active NPI

Daniel a Nord MD, Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Bloomington, IL
National Provider Identifier
1174038822
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036064021 Issued in IL
Legal business name
DANIEL A NORD MD, OBSTETRICS AND GYNECOLOGY
Practice address
1505 Eastland Dr Ste 230
Bloomington, IL 61701-7906
Phone
(309) 663-8888
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Pam O'Neal
Title
Office Manager
Phone
(309) 663-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036064021 IL Primary

Addresses

Primary practice location

1505 Eastland Dr Ste 230
Bloomington, IL 61701-7906

Mailing address

1505 Eastland Dr Ste 230
Bloomington, IL 61701-7906

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1174038822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 230",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR STE 230",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017906",
            "telephone_number": "309-663-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A NORD MD, OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-663-8888"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036064021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.