NPIMap

Individual provider Active NPI

Charlotte Solomon, PA-C

  • Physician Assistant
  • Pottstown, PA
National Provider Identifier
1104841246
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA001214L Issued in PA
Practice address
1603 E High St
Suite a
Pottstown, PA 19464-5061
Phone
(610) 970-4700
Fax
(610) 970-5635
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA001214L PA Primary

Addresses

Primary practice location

1603 E High St
Suite a
Pottstown, PA 19464-5061

Mailing address

1603 E High St
Suite a
Pottstown, PA 19464-5061
Phone (610) 970-4700

Other identifiers 1

IdentifierTypeStateIssuer
103208795-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051116000401 PA Practitioner - Physician Assistant 4082633391 Reassigns benefits to 3 organizations
I20231013002329 DE Practitioner - Physician Assistant 4082633391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates of the Main Line, P.C.Group PAC ID 8325037724, 14 clinicians

Practice addresses (Care Compare)

414 Paoli Pike
Malvern, PA 19355-3311
Phone (484) 596-5254

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Bryn Mawr Rehabilitation Hospital Inpatient rehabilitation facility, Malvern, PA, CCN 393025
  • Quadrangle Nursing home, Haverford, PA, CCN 395801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Spine and Sports Physicians, PC CurrentSince Apr 20, 2015 Accepting new patients
Medical Associates of the Main Line, PC PastSince Mar 12, 2024 Accepting new patients

Locations

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801

1603 E High St
Ste A
Pottstown, PA 19464
Phone (610) 327-2400

Interoperability endpoints

  • Direct secure messaging: charlotte.solomon.1@554.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1104841246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E HIGH ST",
            "address_2": "SUITE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645061",
            "telephone_number": "610-970-4700",
            "fax_number": "610-970-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E HIGH ST",
            "address_2": "SUITE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645061",
            "telephone_number": "610-970-4700",
            "fax_number": "610-970-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "CHARLOTTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001214L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103208795-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.