Teddie Joe Snodgrass, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TEDDIE JOE SNODGRASS, INC.

Practice address

1130 N Nimitz Hwy RM A153
Honolulu, HI 96817-5777

Phone

(808) 342-7843

Fax

(866) 323-1118

NPI assigned

Jan 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Teddie Joe Snodgrass, FNP-BC, DNP

Title

President

Phone

(808) 342-7843

Specialties & licenses 4

Addresses

Other names 1

• Snodgrass Medical Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1003272386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FALLING ROCK RD",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243703577",
            "telephone_number": "808-342-7843",
            "fax_number": "866-323-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY RM A153",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175777",
            "telephone_number": "808-342-7843",
            "fax_number": "866-323-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Falling Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Saltville",
            "state": "VA",
            "postal_code": "243703577",
            "country_code": "US",
            "telephone_number": "808-342-7843",
            "fax_number": "866-323-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEDDIE JOE SNODGRASS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "TEDDIE",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-342-7843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-BC, DNP"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snodgrass Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Witina Techasatian, MD
• Chol Techorueangwiwat, MD
• Cathleen Tejeda
• Monica Tejeda, NP
• Louie Mae Tejero
• Erika Telfer
• Chelci Telford

• Primary Care Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.