Dianne Kay Trudell, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

DT048800 Issued in MI

Legal business name

DIANNE KAY TRUDELL, MD

Practice address

5085 W Bristol Rd
Flint, MI 48507-2922

Phone

(810) 230-2400

Fax

(810) 230-1616

NPI assigned

Apr 30, 2008

Last updated

Mar 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Sopko

Title

Office Manager

Phone

(810) 230-1790

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dianne Kay Trudell, MD

  • Rheumatology Physician
  • Flint, MI
  • NPI 1538276084
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1285800268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072922",
            "telephone_number": "810-230-2400",
            "fax_number": "810-230-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072922",
            "telephone_number": "810-230-2400",
            "fax_number": "810-230-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE KAY TRUDELL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "SOPKO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-230-1790"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "DT048800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1996631",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E38039",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C1542",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENESEE HEALTH PLAN",
            "identifier": "1826025002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4092874",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "1102511962",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manmeet K Dhillon, M.D.
• Parminder K. Dhillon
• Amer Diab, MD
• Maya Diab, MD
• Diagnostic Radiology Associates of Flint PC
• Courtney Diawara
• Alison Larissa Diaz Mercado
• Bergita Diaz, BS
• Kristine M Diaz, PSY.D.
• Amy Marie Dicicco

• Rheumatology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Rheumatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.