Active NPI
Ina Drown, M.D.
- Ophthalmology Physician
- Willmar, MN
National Provider Identifier
1104872324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 43199
- Practice address
- 1604 1St St S
Willmar, MN 56201 - Phone
- (320) 231-5039
- Fax
- (320) 231-5067
- NPI assigned
- May 26, 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 | 43199 | MN | Primary |
Addresses
Primary practice location
1604 1St St S
Willmar, MN 56201
Mailing address
1604 1St St S
Willmar, MN 56201-4243
Phone (320) 231-5039
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 817970100 | Medicaid | MN | |
| 0800341 | Other | MN | MEDICA |
| 91D45LU | Other | MN | BLUE CROSS & BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | idrown411416@direct.centracare.com | Direct |
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 |
|---|---|---|---|
| 9077 | MN | MD | Physical Therapist |
Interoperability endpoints
- idrown411416@direct.centracare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1104872324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 1ST ST S",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014243",
"telephone_number": "320-231-5039",
"fax_number": "320-231-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 1ST ST S",
"city": "WILLMAR",
"state": "MN",
"postal_code": "56201",
"telephone_number": "320-231-5039",
"fax_number": "320-231-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROWN",
"first_name": "INA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "43199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "817970100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0800341",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "91D45LU",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "idrown411416@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "idrown411416@direct.centracare.com",
"address_1": "1604 1st St S",
"city": "Willmar",
"state": "MN",
"country_code": "US",
"postal_code": "56201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.