Organization Active NPI

Solidaritus Health Group PC

  • Family Medicine Physician
  • Owasso, OK
National Provider Identifier
1548751860
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOLIDARITUS HEALTH GROUP PC
Practice address
14601 E 88TH PL N Ste 302
Owasso, OK 74055-4966
Phone
(202) 256-4116
NPI assigned
May 22, 2018
Organization subpart
Yes
Parent organization
SOLIDARITUS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Mike Kapsa
Title
Cfo
Phone
(539) 202-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14601 E 88TH PL N Ste 302
Owasso, OK 74055-4966

Mailing address

1025 Connecticut Ave NW Ste 907
Washington, DC 20036-5434
Phone (202) 256-4116

Other names 1

  • Solidaritus FHC - Owasso Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2150595Solidaritus FHC - Owasso Clinic14601 E 88TH Place N, Suite 302, Owasso, OK 74055Provider-performed microscopyJun 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Solidaritus Health Group PC3 organizations share this tax ID, including this one
Part of
Solidaritus Health Group PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14601 E 88th Pl N
Ste 302
Owasso, OK 74055
Phone (202) 256-4116

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1548751860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CONNECTICUT AVE NW STE 907",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365434",
            "telephone_number": "202-256-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 E 88TH PL N STE 302",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554966",
            "telephone_number": "202-256-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDARITUS HEALTH GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLIDARITUS HEALTH",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "KAPSA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "539-202-1585"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solidaritus FHC - Owasso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.