Active NPI
Susan T Snider, M.D., P.a.
- Family Medicine Physician
- Spruce Pine, NC
National Provider Identifier
1083803142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23763
- Legal business name
- SUSAN T SNIDER, M.D., P.A.
- Practice address
- 36 Hospital Dr
Spruce Pine, NC 28777-8943 - Phone
- (828) 765-6595
- Fax
- (828) 765-6599
- NPI assigned
- Oct 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan T Snider, M.D.
- Title
- M.D./Owner
- Phone
- (828) 765-6595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23763 | NC | Primary |
Addresses
Primary practice location
36 Hospital Dr
Spruce Pine, NC 28777-8943
Mailing address
36 Hospital Dr
Spruce Pine, NC 28777-8943
Phone (828) 765-6595
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78352 | Other | NC | BCBSNC PROVIDER NUMBER |
| 5950189 | Medicaid | NC | |
| 8978352 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
36 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-1331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1083803142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HOSPITAL DR",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287778943",
"telephone_number": "828-765-6595",
"fax_number": "828-765-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 HOSPITAL DR",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287778943",
"telephone_number": "828-765-6595",
"fax_number": "828-765-6599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN T SNIDER, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "SNIDER",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "M.D./OWNER",
"authorized_official_telephone_number": "828-765-6595",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "23763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC PROVIDER NUMBER",
"identifier": "78352",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950189",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8978352",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spruce Pine, NC
- SSC Spruce Pine Operating Company LLC (Brian Center Health & Rehabilitation - Spruce Pine)
- M. Merikaton Feaver Stella, M.D.
- Steve Hill MD PC
- Susan J. Stevensen, M.ED., LDN
- Joanna Miller Storey, M.D.
- Amelia Tan
- Tate Clinic, PA
- Taylor F. Townsend, DDS, PLLC
- The Center for Rural Health Innovation
- Lisa Wade Thomas, N.C. HEARING CARE SP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.