Active NPI
Shoshana E. Englard MD PA
- Ophthalmology Physician
- Roseville, MN
National Provider Identifier
1700933405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 28856
- Legal business name
- SHOSHANA E. ENGLARD MD PA
- Practice address
- 1835 County Road C W
Roseville, MN 55113-1352 - Phone
- (651) 770-2807
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shoshana Esther Englard-Falconer, M.D.
- Title
- Physician Owner
- Phone
- (651) 770-2807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 28856 | MN | Primary |
Addresses
Primary practice location
1835 County Road C W
Roseville, MN 55113-1352
Mailing address
614 Portland Ave
Suite #108
Saint Paul, MN 55102-2223
Phone (651) 770-2807
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96333 | Other | MN | PREFERRED ONE |
| D672 | Other | MN | U CARE |
| 109366 | Other | FM | CHOICE PLUS |
| 22262EN | Other | MN | BLUE CROSS SHIELD |
| 4023 | Other | MN | HEALTH PARTNERS |
| DD4429 | Other | MN | RAIL ROAD MEDICARE |
| 08-14714 | Other | MN | MEDICA |
Other names 1
- Maplewood Ophthalmology
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Hutchison, MN
- NPI 1033199328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700933405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 PORTLAND AVE",
"address_2": "SUITE #108",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022223",
"telephone_number": "651-770-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 COUNTY ROAD C W",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131352",
"telephone_number": "651-770-2807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOSHANA E. ENGLARD MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ENGLARD-FALCONER",
"authorized_official_first_name": "SHOSHANA",
"authorized_official_middle_name": "ESTHER",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "651-770-2807",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MN",
"license": "28856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "96333",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "D672",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE PLUS",
"identifier": "109366",
"state": "FM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD",
"identifier": "22262EN",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "4023",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DD4429",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "08-14714",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maplewood Ophthalmology",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.