Physician Compare National (NPI:1922502053)

HEALTHCARE PROVIDER: SOLOMON JOSHUA DNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922502053
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608131230
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180531000299
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOSHUA
	Individual professional last name
Provider First Name	SOLOMON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5510 S FORT APACHE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 30
	Group Practice or individual's line 2 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891487700
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DIGNITY HEALTH ST ROSE DOMINICAN-NORTH LAS VEGAS CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y