Donald Allen Ristad, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25476 Issued in MN

Practice address

3939 W 50TH St
Ste. 200
Edina, MN 55424-1244

Phone

(952) 920-2020

Fax

(952) 920-3225

NPI assigned

Jul 31, 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

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1164438156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W 50TH ST",
            "address_2": "STE. 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241244",
            "telephone_number": "952-920-2020",
            "fax_number": "952-920-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W 50TH ST",
            "address_2": "STE. 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241244",
            "telephone_number": "952-920-2020",
            "fax_number": "952-920-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTAD",
        "first_name": "DONALD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "25476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219792800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Milan Ristic, DO
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• Steven Paul Robak, CPNP
• Robert K. Peterson DDS PA
• Jade Renae Roberts, COTA

• Ophthalmology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.