DIANNE KAY TRUDELL, MD (NPI# 1285800268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285800268 |
| Entity Type | Organization |
| Organization Name | DIANNE KAY TRUDELL, MD |
| Practice Address |
5085 W Bristol Rd Flint MI 48507-2922 |
| Practice Telephone | 8102302400 |
| Practice Fax Number | 8102301616 |
| Mailing Telephone | 8102302400 |
| Mailing Fax Number | 8102301616 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | KRISTEN SOPKO (OFFICE MANAGER) |
| Authorized Official Telephone | 8102301790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
DT048800 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GENESEE HEALTH PLAN | 1826025002 | 01 |
| MI | BCBS PIN | 1102511962 | 01 |
| MI | 1996631 | 05 | |
| MI | MCARE | C1542 | 01 |
| MI | UPIN | E38039 | 01 |
| MI | AETNA | 4092874 | 01 |
| Street Address |
5085 W BRISTOL RD |
| City | FLINT |
| State | MI |
| Zip Code | 48507-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1023220621 | Howard Duncan | Internal Medicine | G5085 W Bristol Rd, Flint, MI 48507 | 2007-05-04 |
| 1538276084 | Dianne Kay Trudell | Internal Medicine | G-5085 West Bristol Rd, Flint, MI 48507-2922 | 2006-08-23 |
| 1649228842 | Hal F. Martens, D.o., Plc | Internal Medicine | G3535 Beecher Rd, Suite C, Flint, MI 48532-2700 | 2006-05-04 |
| 1639468747 | Rafid R Asfar | Internal Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2011-03-30 |
| 1952418410 | Jolanta Sobotka-czarnecki | Internal Medicine | G-5085 West Bristol Rd, Flint, MI 48507-2922 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| 1982738290 | University Internal Medicine Specialists | Internal Medicine | 4160 John R., Suite 917, Detroit, MI 48201 | 2007-03-16 |
| 1235268905 | Rocco Joseph Demasi | Internal Medicine | 424 Raging River Rd, Mason, MI 48854-9332 | 2007-03-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.