Paul Antonio Olson Solis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

201631 Issued in OR

Practice address

601 Medical Pkwy
Enterprise, OR 97828-5124

Phone

(541) 426-3111

Fax

(541) 426-1910

NPI assigned

May 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Duke University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wallowa County Health Care DistrictGroup PAC ID 4183537566, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wallowa Memorial Hospital Hospital, Enterprise, OR, CCN 381306

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psolis1723673@wm.providencedirect.org

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.

• Wallowa County Health Care District

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250
  Medicare reassignment Care Compare group NPD
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Wallowa, OR
  • NPI 1508452160
  NPD (past)
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1528442837
  NPD (past)
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Joseph, OR
  • NPI 1790167831
  NPD (past)

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

• Wallowa County Health Care District

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229
  Care Compare affiliation

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1144803776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 W 102ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312440",
            "telephone_number": "303-915-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978285124",
            "telephone_number": "541-426-3111",
            "fax_number": "541-426-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "PAUL",
        "middle_name": "ANTONIO OLSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "201631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott K Siebe, MD
• Jessica L Skillings
• Landra Kaia Skovlin, LMT
• Glenn Smith
• Erna Andrea Solheim, LMSW
• Michael Sorrells
• Paul Spriggs-Flanders, LPC
• Nancy J. Stangel, RPH
• Nora Theresa Stangel
• Erica Stockdale

• Physician Assistant in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.