Active NPI
Michael Isaac Sniderman, MD
- Anesthesiology Physician
- Newark, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.097161
- Practice address
- 1320 West Main Street
Newark, OH 43055-1822 - Phone
- (220) 564-4218
- Fax
- (220) 564-4217
- NPI assigned
- Jun 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A120384 | CA | |
| Anesthesiology Physician | 207L00000X | 35097161 | OH | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A120384 | CA | |
| Anesthesiology Physician | 207L00000X | 35.097161 | OH | Primary |
Addresses
Primary practice location
1320 West Main Street
Newark, OH 43055-1822
Mailing address
1320 West Main Street
Newark, OH 43055-1822
Phone (220) 564-4218
Other practice location 1
410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8487
Other practice location 2
1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4217
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msniderman14425@lickingmemorial.medicity.net | Other | LICKING MEMORIAL PROFESSIONAL CORPORATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Ohio, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120384 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Ohio Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia & Intensive Care Consultants,Inc. | Anesthesiology | Current | Accepting new patients |
| Licking Memorial Professional Corp. | Past | Accepting new patients |
Locations
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
-
- Anesthesiology Physician
- Batavia, OH
- NPI 1164859013
-
- Pediatrics Physician
- Utica, OH
- NPI 1497771521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1003077157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 WEST MAIN STREET",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551822",
"telephone_number": "220-564-4218",
"fax_number": "220-564-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 WEST MAIN STREET",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551822",
"telephone_number": "220-564-4218",
"fax_number": "220-564-4217"
}
],
"practiceLocations": [
{
"address_1": "410 W 10th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101240",
"country_code": "US",
"telephone_number": "614-293-8487",
"fax_number": "614-293-8153",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 W Main St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430551822",
"country_code": "US",
"telephone_number": "220-564-4217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNIDERMAN",
"first_name": "MICHAEL",
"middle_name": "ISAAC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-21",
"last_updated": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A120384",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35097161",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A120384",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.097161",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msniderman14425@lickingmemorial.medicity.net",
"affiliation": "Y",
"endpointDescription": "DIRECT EMAIL ADDRESS",
"affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "OTHER",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "1320 W Main St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.