Active NPI
Laura Solliday, P.A.C.
- Physician Assistant
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1198
- Practice address
- 5000 W Chambers St
Milwaukee, WI 53210-1650 - Phone
- (414) 447-2171
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1198 | WI | Primary |
Addresses
Primary practice location
5000 W Chambers St
Milwaukee, WI 53210-1650
Mailing address
10625 W North Ave
Suite 102
Milwaukee, WI 53226-2315
Phone (414) 877-5350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41924200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 259-7200
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1198 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Physician Assistant | Current | Accepting new patients |
| Integrated Therapeutic Massage LLC | Past | Accepting new patients |
Locations
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
725 American Ave
#5
Waukesha, WI 53188
Phone (262) 928-2475
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
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.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Physician Assistant
-
- Emergency Medicine Physician
- Oconomowoc, WI
- NPI 1720060585
-
- Massage Therapist
- Milwaukee, WI
- NPI 1144994096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1174620959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10625 W NORTH AVE",
"address_2": "SUITE 102",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532262315",
"telephone_number": "414-877-5350",
"fax_number": "414-877-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 W CHAMBERS ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101650",
"telephone_number": "414-447-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLLIDAY",
"first_name": "LAURA",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41924200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.