Active NPI
Michelle T Snyder, DO
- Pediatrics Physician
- Coral Springs, FL
National Provider Identifier
1073008298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS18149
- Practice address
- 9750 NW 33Rd St Ste 101
Coral Springs, FL 33065-4000 - Phone
- (954) 752-9220
- Fax
- (954) 752-1549
- NPI assigned
- Jun 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS18149 | FL | Primary |
Addresses
Primary practice location
9750 NW 33Rd St Ste 101
Coral Springs, FL 33065-4000
Mailing address
86 W Underwood St Ste 202
Orlando, FL 32806-1110
Phone (407) 649-6876
Other practice location 1
92 W Miller St
Orlando, FL 32806-2032
Phone (407) 649-6876
Other names 1
- Michelle T Hack
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS18149 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Pediatrics | Past | Accepting new patients |
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1073008298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 W UNDERWOOD ST STE 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 NW 33RD ST STE 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654000",
"telephone_number": "954-752-9220",
"fax_number": "954-752-1549"
}
],
"practiceLocations": [
{
"address_1": "92 W Miller St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062032",
"country_code": "US",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "MICHELLE",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS18149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HACK",
"middle_name": "T",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.