Provider Demographics
NPI:1346538527
Name:ONDOMA, SOLOMON M (MB, BCH, MD)
Entity Type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:M
Last Name:ONDOMA
Suffix:
Gender:M
Credentials:MB, BCH, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 4TH ST SW STE 105
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-2856
Mailing Address - Country:US
Mailing Address - Phone:641-428-7847
Mailing Address - Fax:515-358-0109
Practice Address - Street 1:MERCYONE NORTH IOWA NEUROSURGERY CARE
Practice Address - Street 2:1010 4TH STREET SW, SUITE 105
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401
Practice Address - Country:US
Practice Address - Phone:641-428-7847
Practice Address - Fax:641-428-7999
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-44899207T00000X
390200000X
WI61829207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program