Solomon Dermatology, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

11510 Issued in AZ

Legal business name

SOLOMON DERMATOLOGY, INC.

Practice address

11361 N 99TH Ave
Suite 201
Peoria, AZ 85345-5470

Phone

(623) 974-3659

NPI assigned

Sep 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David B Solomon, MD

Title

Owner

Phone

(623) 974-3659

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Peter M Freedman, MD

  • Allergy & Immunology Physician
  • Peoria, AZ
  • NPI 1518963115
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1033215405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 N 99TH AVE",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455470",
            "telephone_number": "623-974-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 N 99TH AVE",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455470",
            "telephone_number": "623-974-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-974-3659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "11510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER ID",
            "identifier": "AZ0853180",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDISUN ID",
            "identifier": "99S010800001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "2173735",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amardeep Sodhi, M.D.
• Gurvinder K Sodhi, M.D.
• Gary Sohm, RPH
• Flor Solis, ACNP
• Odette Kassar Solis, MD
• Solomon'S Journey Inc
• Solution Team LLC
• Jennifer Nicole Somal, FNP-C
• Somnident PLLC
• Lucia Somodean

• Specialist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.