Healthcare Provider Details

I. General information

NPI: 1346538527
Provider Name (Legal Business Name): SOLOMON M ONDOMA M.B., B.CH, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MERCYONE NORTH IOWA NEUROSURGERY CARE 1010 4TH STREET SW, SUITE 105
MASON CITY IA
50401
US

IV. Provider business mailing address

1010 4TH ST SW STE 105
MASON CITY IA
50401-2856
US

V. Phone/Fax

Practice location:
  • Phone: 641-428-7847
  • Fax: 641-428-7999
Mailing address:
  • Phone: 641-428-7847
  • Fax: 515-358-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD-44899
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number61829
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: