Provider Demographics
NPI:1508805862
Name:SOLOMON, MARCUS JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:JOEL
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 23RD AVE N STE 350
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1596
Mailing Address - Country:US
Mailing Address - Phone:615-983-6000
Mailing Address - Fax:615-983-6010
Practice Address - Street 1:345 23RD AVE N STE 350
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1596
Practice Address - Country:US
Practice Address - Phone:615-983-6000
Practice Address - Fax:615-983-6010
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036088310174400000X
TN0000045107174400000X
KYTP935174400000X
TNMD0000045107207W00000X
TN1517674207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No174400000XOther Service ProvidersSpecialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2201714OtherBCBS
IL180026814OtherRR MEDICARE PIN
IL36088310Medicaid
ILF77455Medicare UPIN
IL2201714OtherBCBS