NPIMap

Individual provider Active NPI

Mark A Snider, M.D.

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1003815465
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301060460 Issued in MI
Practice address
905 N Macomb St
Ste 4
Monroe, MI 48162-3075
Phone
(734) 242-6161
Fax
(734) 243-6644
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301060460 MI Primary

Addresses

Primary practice location

905 N Macomb St
Ste 4
Monroe, MI 48162-3075

Mailing address

905 N Macomb St
Ste 4
Monroe, MI 48162-3075
Phone (734) 242-6161

Other identifiers 1

IdentifierTypeStateIssuer
2868224MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708001291 MI Practitioner - Family Practice 5395726301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 N Macomb St
Suite 4
Monroe, MI 48162-3076

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Parc Hospice, LLC Hospice, Farmington Hills, MI, CCN 231715
  • Elara Caring Hospice, Bingham Farms, MI, CCN 231579
  • Heartland Hospice (Monroe) Hospice, Monroe, MI, CCN 231609
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • IHM Senior Living Community Nursing home, Monroe, MI, CCN 235648
  • Wellspring Lutheran Nursing and Rehab Services Nursing home, Monroe, MI, CCN 235274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301060460MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Snider MD PC Family Medicine CurrentSince Aug 13, 1992 Accepting new patients
William H. Bell III, D.O.,P.C. PastSince Oct 1, 2002 Accepting new patients
Ihm Senior Living Community, Inc. PastSince Feb 6, 2025 Accepting new patients
Lutheran Homes of Michigan, Inc Past Accepting new patients

Locations

905 N Macomb St
Ste 4
Monroe, MI 48162
Phone (734) 242-6161

730 N Macomb St
Ste 300
Monroe, MI 48162
Phone (734) 235-5296

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ihm Senior Living CommunityMonroe, MI, CCN 235648 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
Feb 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1003815465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MACOMB ST",
            "address_2": "STE 4",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623075",
            "telephone_number": "734-242-6161",
            "fax_number": "734-243-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MACOMB ST",
            "address_2": "STE 4",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623075",
            "telephone_number": "734-242-6161",
            "fax_number": "734-243-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2868224",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.