Edina Retina Consultants

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EDINA RETINA CONSULTANTS

Practice address

6525 France Ave S Ste 115
Edina, MN 55435-2283

Phone

(952) 345-8200

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard H. Johnston, M.D.NPI 1154398824

Title

President

Phone

(952) 345-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: pdrayna@erc.intellechartdirect.net
• Direct secure messaging: rjohnston@erc.intellechartdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard H Johnston, MD

  • Retina Specialist (Ophthalmology) Physician
  • Edina, MN
  • NPI 1154398824

  MN, Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Paul Michael Drayna, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Edina, MN
  • NPI 1619137072

  MN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1144264995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S STE 115",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352283",
            "telephone_number": "952-345-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S STE 115",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352283",
            "telephone_number": "952-345-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINA RETINA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-345-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Edina, MN
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.