Michael C. Solomon, Mdpa

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

MICHAEL C. SOLOMON, MDPA

Practice address

4638 S 25TH St
Fort Pierce, FL 34981-5057

Phone

(772) 468-0042

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Craig Solomon, MDNPI 1023070539

Title

President

Phone

(772) 468-0042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Craig Solomon, M.D.

  • Urology Physician
  • Port St Lucie, FL
  • NPI 1023070539
  Medicare reassignment NPD Authorized official
• Brooke Logsdon Revels, FNP-C

  • Urology Physician
  • Port Saint Lucie, FL
  • NPI 1437907870
  NPD (past)

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1801130224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815057",
            "telephone_number": "772-468-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815057",
            "telephone_number": "772-468-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. SOLOMON, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-468-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Alejandro Mesa, MBBS
• Tracy Messias
• Metropolitan Anesthesia Group PL
• MFP Opco LLC
• Michael C Riordan Psy D P a
• Michael J Costello MD PA
• Judith Michalski, LCSW
• Vicki N Michel, APRN
• Mid Florida Radiation Oncology Asso
• Mid Florida Radiation Oncology Asso

• Urology Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.