Active NPI
Andrea Christine Joplin, MD
- Ophthalmology Physician
- Saint Cloud, MN
National Provider Identifier
1073553996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 36576
- Practice address
- 628 Roosevelt Rd Ste 101
Saint Cloud, MN 56301-4867 - Phone
- (320) 774-3789
- Fax
- (320) 774-3483
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 36576 | MN | Primary |
Addresses
Primary practice location
628 Roosevelt Rd Ste 101
Saint Cloud, MN 56301-4867
Mailing address
628 Roosevelt Rd Ste 101
Saint Cloud, MN 56301-4867
Phone (320) 774-3789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36576 | MN | MD | Ophthalmology Physician |
Interoperability endpoints
- andrea.joplin@743992428068868.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1073553996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 ROOSEVELT RD STE 101",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014867",
"telephone_number": "320-774-3789",
"fax_number": "320-774-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 ROOSEVELT RD STE 101",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014867",
"telephone_number": "320-774-3789",
"fax_number": "320-774-3483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOPLIN",
"first_name": "ANDREA",
"middle_name": "CHRISTINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "36576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.