Individual provider Active NPI

Edward J Snyder III

  • Surgery Physician
  • Westchester, IL
National Provider Identifier
1083792873
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036065484 Issued in IL
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

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036065484MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, NV, OK, KY, NC, TN, IN, GA, WY, WA11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20081020000548 IL Practitioner - General Surgery 6204994296 Reassigns benefits to 3 organizations
Practice locations: Bolingbrook, IL; Hinsdale, IL; Lagrange, IL; Westchester, IL
I20170116000319 MO Practitioner - General Surgery 6204994296 Reassigns benefits to 1 organization
I20180727000793 NV Practitioner - General Surgery 6204994296 Reassigns benefits to 1 organization
I20200306000471 OK Practitioner - General Surgery 6204994296 Reassigns benefits to 1 organization
I20210315001470 KY Practitioner - General Surgery 6204994296 Reassigns benefits to 1 organization
I20211123000483 NC Practitioner - General Surgery 6204994296 Reassigns benefits to 2 organizations
I20220314000352 TN Practitioner - General Surgery 6204994296 Reassigns benefits to 1 organization
I20230523003354 IN Practitioner - General Surgery 6204994296 Reassigns benefits to 1 organization
I20230811001366 GA Practitioner - General Surgery 6204994296 Reassigns benefits to 3 organizations
I20240131002239 WY Practitioner - General Surgery 6204994296 Reassigns benefits to 1 organization
I20240802002413 WA Practitioner - General Surgery 6204994296 Reassigns benefits to 1 organization

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
Teton County Hospital DistrictGroup PAC ID 4880582295, 107 clinicians
Columbus Ambulatory Healthcare Services, Inc.Group PAC ID 1355244385, 157 clinicians

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 Hospital, Jackson, WY, CCN 530015
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G177437CAMDSurgery Physician
036065484ILMDSurgery Physician
2021-00678NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC CurrentSince Nov 1, 2024 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 1, 2023 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Surgery CurrentSince Mar 31, 2021 Accepting new patients
Franciscan Medical Group Surgery CurrentSince Jul 9, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Aug 15, 2023 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Mar 31, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 22, 2018 Accepting new patients
Northeastern Nevada Physician Practices LLC Current Accepting new patients
Decatur Memorial Hospital CurrentSince Feb 17, 2017 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jan 27, 2022 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Jan 30, 2021 Accepting new patients
DHP of North Carolina PC Surgery CurrentSince Sep 1, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Southwestern Surgical Affiliates, LLC CurrentSince Mar 1, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 11, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 22, 2018 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Sep 22, 2023 Accepting new patients
Teton County Hospital District CurrentSince Jan 24, 2024 Accepting new patients
Northeastern Nevada Physician Practices LLC Surgery CurrentSince Jun 2, 2018 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Sep 22, 2023 Accepting new patients
Franciscan Medical Group Surgery CurrentSince Jul 9, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Cookeville Regional Medical Center CurrentSince Jan 27, 2022 Accepting new patients
Piedmont Providers LLC CurrentSince Oct 14, 2025 Accepting new patients
Decatur Memorial Hospital CurrentSince Feb 17, 2017 Accepting new patients
Carle Health Care Incorporated CurrentSince Jun 4, 2025 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 PastSince Jul 2, 2023 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

  • Direct secure messaging: esnyder3374349@wm.providencedirect.org
  • Direct secure messaging: edward.snyder@hca6.eclinicaldirectplus.com
  • Direct secure messaging: esnyder145584@cityofhope.direct-ci.com
  • Direct secure messaging: esnyderiiimd458067@carlehiedirect.net
  • FHIR API: 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.

View all 34

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.