NPIMap

Individual provider Active NPI

Donald S Soloniuk, M.D.

  • Neurological Surgery Physician
  • Lewiston, ID
National Provider Identifier
1780620765
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M6135 Issued in ID
Practice address
324 5TH St
Suite 101
Lewiston, ID 83501-2408
Phone
(208) 746-5025
Fax
(208) 746-4946
NPI assigned
Jun 20, 2006
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X M6135 ID Primary

Addresses

Primary practice location

324 5TH St
Suite 101
Lewiston, ID 83501-2408

Mailing address

PO Box 974
Lewiston, ID 83501-0974
Phone (208) 746-5025

Other identifiers 1

IdentifierTypeStateIssuer
806652800MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000958 ID Practitioner - Neurosurgery 5799770814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Loma Linda University School of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

324 5TH St
Suite 101
Lewiston, ID 83501-2408
Phone (208) 746-5025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion114
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6135IDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery & Spine Care Specialists, PLLC CurrentSince Jul 1, 2003 Accepting new patients
Clearwater Neurosurgery & Spinal Surgery Associates PLLC PastSince Jul 1, 2003 Accepting new patients

Locations

324 5th St
Lewiston, ID 83501
Phone (208) 746-1900

324 5th St
#101
Lewiston, ID 83501
Phone (208) 746-5025

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

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 11

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1780620765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010974",
            "telephone_number": "208-746-5025",
            "fax_number": "208-746-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 5TH ST",
            "address_2": "SUITE 101",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012408",
            "telephone_number": "208-746-5025",
            "fax_number": "208-746-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLONIUK",
        "first_name": "DONALD",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "M6135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806652800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.