Active NPI
Gary Lee Snyder, MD
- Cardiovascular Disease Physician
- Grand Junction, CO
National Provider Identifier
1063458016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22555
- Practice address
- 425 Patterson Rd
Ste 605
Grand Junction, CO 81506 - Phone
- (970) 244-2482
- Fax
- (970) 255-1701
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 22555 | CO | Primary |
Addresses
Primary practice location
425 Patterson Rd
Ste 605
Grand Junction, CO 81506
Mailing address
425 Patterson Rd
Ste 605
Grand Junction, CO 81506
Phone (970) 244-2482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01225556 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Slope Cardiology, PC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Grand Junction, CO
- NPI 1316976442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1063458016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PATTERSON RD",
"address_2": "STE 605",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81506",
"telephone_number": "970-244-2482",
"fax_number": "970-255-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 PATTERSON RD",
"address_2": "STE 605",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81506",
"telephone_number": "970-244-2482",
"fax_number": "970-255-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "GARY",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "22555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01225556",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.