Individual provider Active NPI

Hetty Zoe Snyderman, D.O.

  • Pediatrics Physician
  • Fort Myers, FL
National Provider Identifier
1043488539
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS0005121 Issued in FL
Practice address
21 Carrotwood CT
Fort Myers, FL 33919-7531
Phone
(239) 898-8988
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS0005121 FL Primary

Addresses

Primary practice location

21 Carrotwood CT
Fort Myers, FL 33919-7531

Mailing address

21 Carrotwood CT
Fort Myers, FL 33919-7531
Phone (239) 898-8988

Other names 1

  • Dr. Hetty Zoe Weinstein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0005121FLMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1043488539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CARROTWOOD CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197531",
            "telephone_number": "239-898-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CARROTWOOD CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197531",
            "telephone_number": "239-898-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDERMAN",
        "first_name": "HETTY",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS0005121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HETTY",
            "last_name": "WEINSTEIN",
            "middle_name": "ZOE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.