Provider Demographics
NPI:1073371993
Name:SOLIMAN, SUMMER (PA-C)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6730 ROOSEVELT AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-0017
Mailing Address - Country:US
Mailing Address - Phone:513-874-0486
Mailing Address - Fax:513-280-8868
Practice Address - Street 1:6730 ROOSEVELT AVE STE 303
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45005-0017
Practice Address - Country:US
Practice Address - Phone:513-874-0486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085010595363A00000X
OH50.009412RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant