Organization Active NPI

Shoshana E. Englard MD PA

  • Ophthalmology Physician
  • Roseville, MN
National Provider Identifier
1700933405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28856 Issued in MN
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
96333OtherMNPREFERRED ONE
D672OtherMNU CARE
109366OtherFMCHOICE PLUS
22262ENOtherMNBLUE CROSS SHIELD
4023OtherMNHEALTH PARTNERS
DD4429OtherMNRAIL ROAD MEDICARE
08-14714OtherMNMEDICA

Other names 1

  • Maplewood Ophthalmology Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.