Active NPI
Solomon Feyissa LLC
- Internal Medicine Physician
- Laurel, MD
National Provider Identifier
1881966851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D070500
- Legal business name
- SOLOMON FEYISSA LLC
- Practice address
- 14740 4TH St
Apt 415
Laurel, MD 20707-3718 - Phone
- (240) 294-6536
- Fax
- (240) 294-7235
- NPI assigned
- Feb 6, 2012
- Last updated
- Feb 6, 2012
- 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
- Dr. Solomon Alemu Feyissa, M.D.
- Title
- General Manager
- Phone
- (240) 294-6536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D070500 | MD | Primary |
Addresses
Primary practice location
14740 4TH St
Apt 415
Laurel, MD 20707-3718
Mailing address
14740 4TH St
Apt 415
Laurel, MD 20707-3718
Phone (240) 294-6536
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328486400000",
"number": "1881966851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14740 4TH ST",
"address_2": "APT 415",
"city": "LAUREL",
"state": "MD",
"postal_code": "207073718",
"telephone_number": "240-294-6536",
"fax_number": "240-294-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14740 4TH ST",
"address_2": "APT 415",
"city": "LAUREL",
"state": "MD",
"postal_code": "207073718",
"telephone_number": "240-294-6536",
"fax_number": "240-294-7235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLOMON FEYISSA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A",
"authorized_official_last_name": "FEYISSA",
"authorized_official_first_name": "SOLOMON",
"authorized_official_middle_name": "ALEMU",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "240-294-6536",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D070500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.