Active NPI
Solaris Group
Doing business as solaris healthcare
- Nurse Practitioner
- Ellicott City, MD
National Provider Identifier
1659058030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- SOLARIS GROUP
- Doing business as
- solaris healthcare
- Practice address
- 3219A Corporate CT
Ellicott City, MD 21042-2247 - Phone
- (240) 643-2612
- NPI assigned
- Jun 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olasunkanmi Asabi
- Title
- Business Owner
- Phone
- (240) 643-2612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
3219A Corporate CT
Ellicott City, MD 21042-2247
Mailing address
9241 Old Scaggsville Rd
Laurel, MD 20723-1729
Phone (240) 643-2616
Other names 1
- solaris healthcare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1659058030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9241 OLD SCAGGSVILLE RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231729",
"telephone_number": "240-643-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219A CORPORATE CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422247",
"telephone_number": "240-643-2612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLARIS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "ASABI",
"authorized_official_first_name": "OLASUNKANMI",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "240-643-2612"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "solaris healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.