Mark a Snider MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301060460 Issued in MI

Legal business name

MARK A SNIDER MD PC

Practice address

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

Phone

(734) 242-6161

Fax

(734) 242-0401

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Stephanie Webber, CMRS

Title

Billing Agent

Phone

(734) 242-0400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Snider, M.D.

  • Family Medicine Physician
  • Monroe, MI
  • NPI 1003815465
  Medicare reassignment NPD
• William Henry Bell III, D.O.

  • Surgery Physician
  • Monroe, MI
  • NPI 1891880613
  NPD (past)
• Tamra Michelle Starner, CNP

  • Nurse Practitioner
  • Monroe, MI
  • NPI 1811199078
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1023269271",
    "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": "734-242-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A SNIDER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "734-242-0400",
        "authorized_official_credential": "CMRS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0581120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RR MEDICARE",
            "identifier": "DP9638",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tedd L March, D.O.
• Monica Louise Marcinak, MA, LMSW, CAAC
• Robin Marie Margraves, LPN
• Maria T McMullin DDS PLLC
• Karam Marji, DMD
• Mark a. Eby D.D.S., P.C.
• Anna Marks
• Wingston Marri, PT
• Earl Mac Marshall Jr., MD
• Kimberly Diann Marshall, BSHS, MSP

• Family Medicine Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.