John Derxson Norlund, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

139408 Issued in NY

Practice address

550 Orchard Park Rd
A100
West Seneca, NY 14224-2646

Phone

(716) 674-6800

Fax

(716) 674-6804

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Western New York Radiation Oncology

  • Specialist
  • West Seneca, NY
  • NPI 1407863509
  NPD (past) Authorized official
• Southtowns Radiation Oncology, PC

  • Radiation Oncology Physician
  • West Seneca, NY
  • NPI 1164728226
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1699875583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "A100",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-674-6800",
            "fax_number": "716-674-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "A100",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-674-6800",
            "fax_number": "716-674-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORLUND",
        "first_name": "JOHN",
        "middle_name": "DERXSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "139408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01030735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Stanley Nikel, RN
• Cynthia M Nikiel, OT
• Anne Marie Nikirk, PA-C
• Shannon Niver, MS CCC SLP
• Jack Nocera, PHD
• Gregory Notaro, RPH
• Novelli Wellness Chiropractic Physical Therapy and Nurse Practitioner
• Stephen Novelli, DC
• Jeannette B Nowak, OTR/L
• Cristie Marie Nowinski, LMT

• All providers in West Seneca, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.