Individual provider Active NPI

Diana B Nordlund, DO

  • Emergency Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1346461860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L930826 Issued in MI
Practice address
1919 Boston St SE
Metro Health Hospital
Grand Rapids, MI 49506-4160
Phone
(616) 252-7200
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L930826 MI Primary

Addresses

Primary practice location

1919 Boston St SE
Metro Health Hospital
Grand Rapids, MI 49506-4160

Mailing address

1507 Lenox Rd SE
Grand Rapids, MI 49506-4135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090401000409 MI Practitioner - Emergency Medicine 5496812786 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecs Western Michigan PCGroup PAC ID 8628327384, 202 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1680

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339
  • Corewell Health Zeeland Hospital Hospital, Zeeland, MI, CCN 230003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L930826MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Visionary Medical Services PC Emergency Medicine CurrentSince Jan 5, 2025 Accepting new patients
Ecs Central Michigan PC Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Sparrow Ionia Hospital CurrentSince Apr 1, 2013 Accepting new patients
Ecs Western Michigan PC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Sparrow Ionia Hospital Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1108 W State St
Hastings, MI 49058
Phone (269) 945-8080

1009 W Green St
Hastings, MI 49058
Phone (269) 945-1212

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

8333 Felch St
Ste 200
Zeeland, MI 49464
Phone (616) 748-2850

8333 Felch St
Zeeland, MI 49464
Phone (616) 741-3790

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346461860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LENOX RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BOSTON ST SE",
            "address_2": "METRO HEALTH HOSPITAL",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064160",
            "telephone_number": "616-252-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDLUND",
        "first_name": "DIANA",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "L930826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.