Solomon Knicely, DO
Emergency Medicine in Monroe, MI. Individual provider (NPI-1).
NPI number1528089679
StatusActive
Last updated in NPPESOct 24, 2023
Details
- NPI
- 1528089679
- Entity type
- Individual (NPI-1)
- Name
- Solomon Knicely
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2006
- Certification date
- Oct 24, 2023
- Last updated
- Oct 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101015716 | MI | Yes |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 5101015716 | MI |
Practice location
718 N Macomb StMonroe, MI 48162
Phone 734-240-4435
Mailing address
3500 15 Mile RdSterling Heights, MI 48310-5353
Phone 586-977-6212
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 43 Emergency Medicine Physician providers in Monroe · All 1,757 providers in Monroe
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