Active NPI
William Curtis Solomon Jr., M.D.
- Family Medicine Physician
- Callahan, FL
National Provider Identifier
1881663987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME42801
- Practice address
- 450077 State Road 200 Ste 12
Ufjp Callahan Family Practice Center
Callahan, FL 32011-3863 - Phone
- (904) 633-0560
- Fax
- (904) 633-0561
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME42801 | FL | Primary |
Addresses
Primary practice location
450077 State Road 200 Ste 12
Ufjp Callahan Family Practice Center
Callahan, FL 32011-3863
Mailing address
PO Box 44008
Ufjp Provider Enrollment
Jacksonville, FL 32231-4008
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000419537B | Medicaid | GA | |
| 080039620 | Other | FL | RAILROAD MEDICARE |
| 0696617-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Family Medicine | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Family Medicine | Past | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Family Medicine | Past | Accepting new patients |
Locations
450077 State Road 200
Ste 12
Callahan, FL 32011
Phone (904) 633-0560
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1487814752
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Family Medicine
-
- Family Medicine Physician
- Yulee, FL
- NPI 1518126168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1881663987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "UFJP PROVIDER ENROLLMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450077 STATE ROAD 200 STE 12",
"address_2": "UFJP CALLAHAN FAMILY PRACTICE CENTER",
"city": "CALLAHAN",
"state": "FL",
"postal_code": "320113863",
"telephone_number": "904-633-0560",
"fax_number": "904-633-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "WILLIAM",
"middle_name": "CURTIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME42801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000419537B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080039620",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0696617-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Callahan, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.