Active NPI
Solomon Amdemariam LLC
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1801958616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31855
- Legal business name
- SOLOMON AMDEMARIAM LLC
- Practice address
- 2000 W Bethany Home Rd
Phoenix, AZ 85015-2443 - Phone
- (623) 594-7866
- NPI assigned
- Dec 15, 2006
- 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
- Solomon Amdemariam, M.D.
- Title
- Owner
- Phone
- (623) 698-6741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31855 | AZ | Primary |
Addresses
Primary practice location
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Mailing address
20280 N 59TH Ave
Suite # 115 PMB 544
Glendale, AZ 85308-6850
Phone (623) 594-7866
National Provider Directory
National Provider DirectoryLocations
20280 N 59th Ave
Ste 115
Glendale, AZ 85308
Phone (623) 293-8480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801958616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20280 N 59TH AVE",
"address_2": "SUITE # 115 PMB 544",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086850",
"telephone_number": "623-594-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152443",
"telephone_number": "623-594-7866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLOMON AMDEMARIAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AMDEMARIAM",
"authorized_official_first_name": "SOLOMON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-698-6741",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "31855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.