Active NPI
Edward J Snyder III
- Surgery Physician
- Westchester, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036065484
- Practice address
- 2434 S Wolf Rd
Westchester, IL 60154 - Phone
- (708) 562-6822
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 53525 | KY | |
| Surgery Physician | 208600000X | 2021-00678 | NC | |
| Surgery Physician | 208600000X | G177437 | CA | |
| Surgery Physician | 208600000X | 036065484 | IL | Primary |
Addresses
Primary practice location
2434 S Wolf Rd
Westchester, IL 60154
Mailing address
950 N York Rd
104
Hinsdale, IL 60521
Phone (708) 562-6822
Other practice location 1
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2870
Other practice location 2
1532 Lone Oak Rd Ste 235
Paducah, KY 42003-7941
Phone (270) 442-9463
Other practice location 3
316 S Stratford Ave Ste B
Santa Maria, CA 93454-5908
Phone (805) 332-8446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036065484 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO, NV, OK, KY, NC, TN, IN, GA, WY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 E Broadway Ave
Suite 229
Jackson, WY 83001-8640
Phone (307) 739-7690
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454
Hospital & facility affiliations
- St Johns Medical Center
- Piedmont Columbus Regional Midtown
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G177437 | CA | MD | Surgery Physician |
| 036065484 | IL | MD | Surgery Physician |
| 2021-00678 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Physician Services LLC | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Surgery | Current | Accepting new patients |
| Franciscan Medical Group | Surgery | Current | Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Northeastern Nevada Physician Practices LLC | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| DHP of North Carolina PC | Surgery | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Southwestern Surgical Affiliates, LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Teton County Hospital District | Current | Accepting new patients | |
| Northeastern Nevada Physician Practices LLC | Surgery | Current | Accepting new patients |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Franciscan Medical Group | Surgery | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Piedmont Providers LLC | Current | Accepting new patients | |
| Decatur Memorial Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Surgery | Past | Accepting new patients |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Past | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients | |
| Porter Physician Services LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations (25 of 40)
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
970 Joe Frank Harris Pkwy SE
Ste 120
Cartersville, GA 30120
Phone (470) 490-3200
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
150 Eagle Spring Ct
Ste A
Stockbridge, GA 30281
Phone (404) 299-3338
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
304 W Hay St
Ste 313
Decatur, IL 62526
Phone (217) 876-5500
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530 Park Ave E
Ste 306
Princeton, IL 61356
Phone (815) 875-4531
5668 E State St
Ste 1000
Rockford, IL 61108
Phone (815) 229-7580
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1405 W Park St
Ste 200
Urbana, IL 61801
Phone (217) 366-2632
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
1532 Lone Oak Rd
Ste 235
Paducah, KY 42003
Phone (270) 442-9463
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- esnyder3374349@wm.providencedirect.org
- edward.snyder@hca6.eclinicaldirectplus.com
- esnyder145584@cityofhope.direct-ci.com
- esnyderiiimd458067@carlehiedirect.net
- https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4
Organizations & group practices 34
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.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
- General Practice Physician
- Jackson, WY
- NPI 1487818605
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1780949032
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
-
- Internal Medicine Physician
- Elko, NV
- NPI 1457599458
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, WY
- NPI 1801835475
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1083792873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N YORK RD",
"address_2": "104",
"city": "HINSDALE",
"state": "IL",
"postal_code": "60521",
"telephone_number": "708-562-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 S WOLF RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "60154",
"telephone_number": "708-562-6822"
}
],
"practiceLocations": [
{
"address_1": "1800 E Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625213810",
"country_code": "US",
"telephone_number": "217-464-2870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1532 Lone Oak Rd Ste 235",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420037941",
"country_code": "US",
"telephone_number": "270-442-9463",
"fax_number": "270-442-2241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "316 S Stratford Ave Ste B",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934545908",
"country_code": "US",
"telephone_number": "805-332-8446",
"fax_number": "805-332-8173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "EDWARD",
"middle_name": "J",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "53525",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2021-00678",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G177437",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036065484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036065484",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.