Organization Active NPI

Jack L Snitzer, D.O., P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Salisbury, MD
National Provider Identifier
1093907404
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
H44532 Issued in MD
Legal business name
JACK L SNITZER, D.O., P.A.
Practice address
1415 S Division St Ste a
Salisbury, MD 21804-7291
Phone
(410) 572-8848
Fax
(410) 572-6890
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Jack L Snitzer, D.O.
Title
Owner
Phone
(410) 572-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X H44532 MD Primary

Addresses

Primary practice location

1415 S Division St Ste a
Salisbury, MD 21804-7291

Mailing address

1415 S Division St Ste a
Salisbury, MD 21804-7291
Phone (410) 572-8848

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1093907404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S DIVISION ST STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047291",
            "telephone_number": "410-572-8848",
            "fax_number": "410-572-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S DIVISION ST STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047291",
            "telephone_number": "410-572-8848",
            "fax_number": "410-572-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK L SNITZER, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "SNITZER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-572-8848",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "H44532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.