NPIMap

Individual provider Active NPI

Jack L Snitzer, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Salisbury, MD
National Provider Identifier
1033152103
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
H44532 Issued in MD
Practice address
1415 S Division St
Suite a
Salisbury, MD 21804-7232
Phone
(410) 572-8848
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X H44532 MD Primary

Addresses

Primary practice location

1415 S Division St
Suite a
Salisbury, MD 21804-7232

Mailing address

1415 S Division St
Suite a
Salisbury, MD 21804-7232
Phone (410) 572-8848

Other identifiers 1

IdentifierTypeStateIssuer
447331100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101207000492 MD Practitioner - Endocrinology 4789871443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

1639 Woodbrooke Dr
Tidalhealth Endocrinology
Salisbury, MD 21804-8502
Phone (410) 572-8848

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
74.47
Promoting interoperability
92
Improvement activities
40
Cost
75.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Feb 1, 2012 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Feb 1, 2012 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients

Locations

1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

1415 S Division St
Ste A
Salisbury, MD 21804
Phone (410) 572-8848

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

1415 S Division St
Salisbury, MD 21804
Phone (410) 572-8848

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 7

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1033152103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S DIVISION ST",
            "address_2": "SUITE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047232",
            "telephone_number": "410-572-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S DIVISION ST",
            "address_2": "SUITE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047232",
            "telephone_number": "410-572-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNITZER",
        "first_name": "JACK",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "H44532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447331100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.