Active NPI
Jeth V Salomon, MD
- Pediatrics Physician
- St Petersburg, FL
National Provider Identifier
1023089406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME68237
- Practice address
- 6399 38TH Ave N
Suite a-6
St Petersburg, FL 33710-1647 - Phone
- (727) 381-5437
- Fax
- (727) 344-0632
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0068237 | FL | |
| Pediatrics Physician | 208000000X | ME68237 | FL | Primary |
Addresses
Primary practice location
6399 38TH Ave N
Suite a-6
St Petersburg, FL 33710-1647
Mailing address
6560 9TH Ave N Ste 1
St Petersburg, FL 33710-6210
Phone (727) 381-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378171200 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068237 | FL | MD | Specialist |
| ME68237 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| After Hours Pediatrics, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jsalomon189063@orlandohealth.medalliesdirect.net
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.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Clinic/Center
- Tampa, FL
- NPI 1992746879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1023089406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6560 9TH AVE N STE 1",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337106210",
"telephone_number": "727-381-5437",
"fax_number": "727-344-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6399 38TH AVE N",
"address_2": "SUITE A-6",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101647",
"telephone_number": "727-381-5437",
"fax_number": "727-344-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "JETH",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0068237",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME68237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378171200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.