Individual provider Active NPI

Robert G Snow, DO

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1023067485
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H8420 Issued in TX
Practice address
2501 Parkview Dr Ste 560
Fort Worth, TX 76102-5825
Phone
(817) 850-1100
Fax
(817) 850-1104
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H8420 TX Primary

Addresses

Primary practice location

2501 Parkview Dr Ste 560
Fort Worth, TX 76102-5825

Mailing address

2501 Parkview Dr Ste 560
Fort Worth, TX 76102-5825
Phone (817) 850-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527003637 OR Practitioner - General Surgery 9436040268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 St Anthony Way
Pendleton, OR 97801-3800

PO
Suite 2300
Pasadena, CA 91110-2300

Hospital & facility affiliations

  • St Anthony Hospital Hospital, Pendleton, OR, CCN 381319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8420TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Oregon Past Accepting new patients
Clinical Practice Support Services PastSince Mar 17, 2005 Accepting new patients
Vincent T Yu MD PC Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCEFAA/Endpoint/HCEFAA

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1023067485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR STE 560",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025825",
            "telephone_number": "817-850-1100",
            "fax_number": "817-850-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR STE 560",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025825",
            "telephone_number": "817-850-1100",
            "fax_number": "817-850-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H8420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.