Individual provider Active NPI

Tara A Solomon, MD

  • Obstetrics & Gynecology Physician
  • Margate, FL
National Provider Identifier
1407819808
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME70025 Issued in FL
Practice address
5901 Colonial Dr
Suite 302
Margate, FL 33063-5675
Phone
(954) 984-8892
Fax
(954) 984-8810
NPI assigned
Apr 8, 2006
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME70025 FL Primary

Addresses

Primary practice location

5901 Colonial Dr
Suite 302
Margate, FL 33063-5675

Mailing address

5901 Colonial Dr
Suite 302
Margate, FL 33063-5675
Phone (954) 984-8892

Other identifiers 4

IdentifierTypeStateIssuer
28988OtherFLBLUE CROSS BLUE SHIELD
250096500MedicaidFL
4682504OtherFLCIGNA
P00327545OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040920000334 FL Practitioner - Obstetrics/Gynecology 1951379833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3850 Coconut Creek Pkwy
Coconut Creek, FL 33066-1600
Phone (954) 984-8892

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Wellness Center of South Florida LLC Obstetrics & Gynecology CurrentSince Oct 1, 2005 Accepting new patients
South Florida Womens Health Associates Inc Obstetrics & Gynecology Past Accepting new patients

Locations

3850 Coconut Creek Pkwy
Ste 1
Coconut Creek, FL 33066
Phone (954) 973-9222

5901 Colonial Dr
Ste 303
Margate, FL 33063
Phone (954) 281-8891

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1407819808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 COLONIAL DR",
            "address_2": "SUITE 302",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635675",
            "telephone_number": "954-984-8892",
            "fax_number": "954-984-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 COLONIAL DR",
            "address_2": "SUITE 302",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635675",
            "telephone_number": "954-984-8892",
            "fax_number": "954-984-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "TARA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME70025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28988",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250096500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4682504",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00327545",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.