Solomon Ali (NPI# 1588666010, PAC ID# 4082745765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1588666010 |
| PAC ID by PECOS | 4082745765 |
| Professional Enrollment ID | I20170802001737 |
| Full Name | Solomon Ali |
| Organization Legal Name | WATONGA INDIAN HEALTH CENTER |
| Address |
1305 S Clarence Nash Rd Watonga Indian Hlth Watonga OK 73772-4820 |
| Phone Number | 5806324991 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 9032010111 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370170 | USPHS LAWTON INDIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1305 S Clarence Nash Rd, Watonga Indian Hlth, Watonga, OK 73772-4820 | 5806324991 | WATONGA INDIAN HEALTH CENTER |
| Organization Legal Name | WATONGA INDIAN HEALTH CENTER |
| Physicians | 1 |
| Street Address |
1305 S CLARENCE NASH RD WATONGA INDIAN HLTH |
| City | WATONGA |
| State | OK |
| Zip | 73772-4820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad N Hudson | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Jeffery Johnston | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Carlos Venegas Jr. | Nurse Practitioner | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Jerome D Dinan | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| James C Hogan | Physician Assistant | Mercy Hospital Watonga Inc | 500 N Clarence Nash Blvd, Watonga, OK 73772-2845 |
| Curtis A Schenk | Family Medicine | 407 N Clarence Nash Blvd, Watonga Family Care, Watonga, OK 73772-3636 | |
| Susan Lee | Optometry | 215 N Clarence Nash Blvd, Watonga, OK 73772-3645 | |
| Timothy L Nelson | Optometry | 203 N Noble Ave, Watonga, OK 73772-3811 | |
| James Garner | General Practice | Mercy Clinic Oklahoma Communities | 203 N Weigle Ave, Mercy Clinic Watonga, Watonga, OK 73772-3840 |
| Dukheh Ahn | Psychiatry | Oklahoma Mental Health Council | 216 W A St, Watonga, OK 73772-4208 |
| Find all physicians in zip 73772 | |||
| City | WATONGA |
| Zip Code | 73772 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | WATONGA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Solomon Ali.
| 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.