Active NPI
William Pringle Rodman, M.D.
- Ophthalmology Physician
- Minneapolis, MN
National Provider Identifier
1619088739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 22706
- Practice address
- 710 E 24TH St
Suite 402
Minneapolis, MN 55404-3840 - Phone
- (612) 871-3611
- Fax
- (612) 871-7294
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 | 22706 | MN | Primary |
Addresses
Primary practice location
710 E 24TH St
Suite 402
Minneapolis, MN 55404-3840
Mailing address
710 E 24TH St
Suite 402
Minneapolis, MN 55404-3840
Phone (612) 871-3611
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 |
|---|---|---|---|
| 22706 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | Past | Accepting new patients | |
| Minneapolis Medical Eye Clinic, P.a. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Minneapolis, MN
- NPI 1750498465
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619088739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 E 24TH ST",
"address_2": "SUITE 402",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043840",
"telephone_number": "612-871-3611",
"fax_number": "612-871-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 E 24TH ST",
"address_2": "SUITE 402",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043840",
"telephone_number": "612-871-3611",
"fax_number": "612-871-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODMAN",
"first_name": "WILLIAM",
"middle_name": "PRINGLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "22706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.