Individual provider Active NPI

Geoff R Snyder, DMSC, PA-C, ATC

  • Medical Physician Assistant
  • Seattle, WA
National Provider Identifier
1013372259
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058045 Issued in PA
Practice address
1519 Alaskan Way S
Seattle, WA 98134-1102
Phone
(206) 217-6432
NPI assigned
Dec 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058045 PA Primary

Addresses

Primary practice location

1519 Alaskan Way S
Seattle, WA 98134-1102

Mailing address

1519 Alaskan Way S
Seattle, WA 98134-1102
Phone (206) 217-6432

Other practice location 1

1250 S Cedar Crest Blvd
Ste 400
Allentown, PA 18103-6224
Phone (610) 402-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Singh Physicians Past Accepting new patients
Good Shepherd Rehabilitation Hospital Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1013372259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 ALASKAN WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341102",
            "telephone_number": "206-217-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 ALASKAN WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341102",
            "telephone_number": "206-217-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "GEOFF",
        "middle_name": "R",
        "credential": "DMSC, PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.