Stephen M Solomon (NPI# 1982699831, PAC ID# 3779474606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1982699831 |
PAC ID by PECOS | 3779474606 |
Professional Enrollment ID | I20100623000513 |
Full Name | Stephen M Solomon |
Organization Legal Name | NORTHEAST IOWA PODIATRY PC |
Address |
44 Brookeridge Dr Waterloo IA 50701-5214 |
Phone Number | 3192342644 |
Gender | M |
Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1998 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 7618868530 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
161303 | GRUNDY COUNTY MEMORIAL HOSPITAL |
160110 | ALLEN HOSPITAL |
160067 | COVENANT MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
44 Brookeridge Dr, Waterloo, IA 50701-5214 | 3192342644 | NORTHEAST IOWA PODIATRY PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | NORTHEAST IOWA PODIATRY PC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelsey Lee Harvey | Podiatry | Northeast Iowa Podiatry PC | 44 Brookeridge Dr, Waterloo, IA 50701-5214 |
Kelsey M Sukovaty | Podiatry | Northeast Iowa Podiatry PC | 308 N Maple Ave, New Hampton, IA 50659-1142 |
Street Address |
44 BROOKERIDGE DR |
City | WATERLOO |
State | IA |
Zip | 50701-5214 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelsey Lee Harvey | Podiatry | Northeast Iowa Podiatry PC | 44 Brookeridge Dr, Waterloo, IA 50701-5214 |
Name | Specialty | Organization | Address |
---|---|---|---|
Morgan C Schoof | Nurse Practitioner | United Community Services Inc | 3362 University Ave, Waterloo, IA 50701-2006 |
Samarah Lisw Greeves | Clinical Social Worker | 3261 University Ave, Waterloo, IA 50701-2051 | |
Leslie R Frost | Physical Therapy | Athletico Ltd | 1111 Ansborough Ave, Waterloo, IA 50701-2248 |
Michael Donnelly | Physical Therapy | Athletico Ltd | 1111 Ansborough Ave, Waterloo, IA 50701-2248 |
Rodney V Kobliska | Chiropractic | 2000 Falls Ave, Suite 1, Waterloo, IA 50701-2302 | |
Zachary P Wilson | Chiropractic | 751 Progress Ave, Waterloo, IA 50701-3108 | |
Bradley J Knox | Optometry | 1030 Alabar Ave, Waterloo, IA 50701-3200 | |
Jason Kirk Eller | Chiropractic | University Chiropractic PC | 2807 University Ave, Waterloo, IA 50701-3335 |
Adam Lee Hoogestraat | Chiropractic | University Chiropractic PC | 2807 University Ave, Waterloo, IA 50701-3335 |
Kaila Egan | Optometry | 918 Decathlon Dr, Waterloo, IA 50701-3441 | |
Find all physicians in zip 50701 |
City | WATERLOO |
Zip Code | 50701 |
Specialty | PODIATRY |
City + Specialty | WATERLOO + PODIATRY |
Please comment or provide details below to improve the information on Stephen M Solomon.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.