Shauntell J Solomon, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

OS 10617 Issued in FL

Practice address

1250 S Tamiami TRL Ste 304
Sarasota, FL 34239-2221

Phone

(941) 926-6553

Fax

(941) 296-8501

NPI assigned

May 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Nova Southeastern College of Osteo Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Institute of Dermatology and Oculoplastic Surgery PLLCGroup PAC ID 2860860376, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssolomon@luminaryderm.emadirect.md
• Direct secure messaging: s.jsolomon@directaddress.net

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.

• Institute of Dermatology & Oculoplastic Surgery PLLC

  • Oncology Clinic/Center
  • Sarasota, FL
  • NPI 1164165296

  Dermatology

  Medicare reassignment Care Compare group NPD
• Douglas K Pierce MD PA

  • Procedural Dermatology Physician
  • Largo, FL
  • NPI 1053515379
  NPD (past)

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1376779710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332514",
            "telephone_number": "941-926-6553",
            "fax_number": "941-296-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL STE 304",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-926-6553",
            "fax_number": "941-296-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "SHAUNTELL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS10617",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS 10617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adina Solis, PHARM.D.
• Jo Ann B Solnoki, PHARM.D.
• Deanna Solodko, PSYD
• Kayla I Solomon, DMD
• Lee Solomon, LMHC
• Solstice Health & Wellness, LLC
• Andrew Harrington Solum, LCSW
• Solutions Counseling & Therapy, LLC
• Sarah Ashley Somai, PHARMD
• Bryce Allen Somer, M.D.

• MOHS-Micrographic Surgery Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.