Organization Active NPI

Solomon Feyissa LLC

  • Internal Medicine Physician
  • Laurel, MD
National Provider Identifier
1881966851
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D070500 Issued in MD
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.