DR. KRISSEDA S SOLOMON (NPI# 1902920028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902920028 |
| Entity Type | Individual |
| Full Name | DR. KRISSEDA S SOLOMON |
| Credential | MD |
| Practice Address |
18101 Oakwood Blvd, Emergency Dept Dearborn MI 48123-4089 |
| Mailing Address |
38935 Ann Arbor Rd Livonia MI 48150-3397 |
| Practice Telephone | 3135938780 |
| Practice Fax Number | 3134362864 |
| Mailing Telephone | 7346320175 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2013-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146D00000X | Personal Emergency Response Attendant | Emergency Medical Service Providers | ||
| Y | 207P00000X | Emergency Medicine | 4301084021 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11726367 | 01 |
| Street Address |
18101 OAKWOOD BLVD, EMERGENCY DEPT |
| City | DEARBORN |
| State | MI |
| Zip Code | 48123-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215090840 | Michael S. Malian | Surgery | 18101 Oakwood Boulevard, Beaumont Hospital, Dearborn Trauma Svcs, Dearborn, MI 48123 | 2006-12-18 |
| 1184717738 | Spinal Therapeutics, Inc | Family Medicine | 22731 Newman Suite 102, Dearborn, MI 48123 | 2006-10-02 |
| 1730343930 | Taher Reza Kermanshahi | Pathology | 18101 Oakwood Blvd, Pathology Dept, Dearborn, MI 48123 | 2008-07-16 |
| 1295751527 | Syed Zaidi | Pathology | 18101 Oakwood Blvd, Pathology Dept, Dearborn, MI 48123 | 2006-07-13 |
| 1972551935 | Kelly J Gingras | Physician Assistant | 18101 Oakwood Blvd, Dearborn, MI 48123 | 2006-05-04 |
| 1386676195 | Christine Giska Westphal | Nurse Practitioner | 18101 Oakwood, Suite 126, Dearborn, MI 48123-2500 | 2006-07-06 |
| 1912179995 | Sara Ann Troyer | Pediatrics | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2008-03-30 |
| 1306040639 | Lee Ann Thorp | Pediatrics | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2007-06-12 |
| 1689680589 | Gary Lee Davis | Emergency Medicine | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2006-07-31 |
| 1003889205 | Steven Allan Acker | Orthopaedic Surgery | 4700 Schaefer Rd, Dearborn, MI 48123-3698 | 2006-02-08 |
| Find all providers in zip 48123 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1164785325 | Wasfeh Musheinesh | Emergency Medicine | 13846 Wellesley St, Dearborn, MI 48126 | 2012-06-21 |
| 1639307408 | Richard Garrett Hanzel | Emergency Medicine | 1557 Venice St, Dearborn, MI 48124-4063 | 2009-06-30 |
| 1366479040 | Richard Cieslak | Emergency Medicine | 19401 Hubbard Drive, Suite 207 Henry Ford Health System, Dearborn, MI 48126 | 2006-06-27 |
| 1316906142 | Ali Hassan | Emergency Medicine | 23455 Michigan Ave, Dearborn, MI 48124-1908 | 2006-03-21 |
| 1508844200 | Joyce M Blazejewski | Emergency Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-01-04 |
| 1528417573 | Khalil Mroue | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-06-10 |
| 1528416211 | Jaber Ali Abdo | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-06-02 |
| 1669854659 | Daniel John Deweert | Emergency Medicine | 19401 Hubbard Dr, Dearborn, MI 48126 | 2015-06-25 |
| 1962884122 | Mark Shievitz | Emergency Medicine | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2015-06-24 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.