Individual provider Active NPI

Pamela Harting Snook-Tidd, MD

  • Family Medicine Physician
  • Seymour, IN
National Provider Identifier
1063495745
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01047138A Issued in IN
Practice address
2026 N Ewing St Ste 200
Seymour, IN 47274-3480
Phone
(812) 524-3333
Fax
(812) 524-3334
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01047138A IN Primary

Addresses

Primary practice location

2026 N Ewing St Ste 200
Seymour, IN 47274-3480

Mailing address

2026 N Ewing St
Seymour, IN 47274-3480
Phone (812) 524-3333

Other identifiers 3

IdentifierTypeStateIssuer
000000092362OtherINANTHEM
200117390AMedicaidIN
200117390MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100601000585 IN Practitioner - Family Practice 0749340453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medical Center PCGroup PAC ID 8325108038, 11 clinicians

Practice addresses (Care Compare)

2026 N Ewing St
Seymour, IN 47274-3480
Phone (812) 524-3333

403 S Main St
129 Schneck Medical Ctr
Salem, IN 47167-1350
Phone (812) 883-1760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Family Medical Center, P.C. Family Medicine CurrentSince Apr 11, 2010 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2145 N State Highway 3
North Vernon, IN 47265
Phone (812) 346-6010

1366 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-3524

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

225 S Pine St
Ste 200
Seymour, IN 47274
Phone (812) 524-3330

2026 N Ewing St
Seymour, IN 47274
Phone (812) 524-3333

2026 N Ewing St
Ste 200
Seymour, IN 47274
Phone (812) 524-3333

Interoperability endpoints

  • Direct secure messaging: pamelasnook@fmcent.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Schneck Medical Center HospiceSeymour, IN, CCN 151529 Hospice W-2 Managing Employee Nov 17, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1063495745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 N EWING ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743480",
            "telephone_number": "812-524-3333",
            "fax_number": "812-524-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 N EWING ST STE 200",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743480",
            "telephone_number": "812-524-3333",
            "fax_number": "812-524-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOK-TIDD",
        "first_name": "PAMELA",
        "middle_name": "HARTING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01047138A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000092362",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200117390A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200117390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.