Russell Turner Snow, DO

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

0110 Issued in ID

Practice address

119 West Logan Street
Ste a
Caldwell, ID 83605

Phone

(208) 454-2050

Fax

(208) 454-3554

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Russell T Snow, D.O., P.a.

  • Facial Plastic Surgery Physician
  • Caldwell, ID
  • NPI 1871016048
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1104932839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WEST LOGAN STREET",
            "address_2": "STE A",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83605",
            "telephone_number": "208-454-2050",
            "fax_number": "208-454-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEST LOGAN STREET",
            "address_2": "STE A",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83605",
            "telephone_number": "208-454-2050",
            "fax_number": "208-454-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "RUSSELL",
        "middle_name": "TURNER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "ID",
            "license": "0110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002697800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Quentin Smith, MD
• Josiah Smith, PA-C
• Lina Smith, LBSW, ADC
• Loreli Smith, M.D.
• Snake River Psychiatry PLLC
• James Allan Snyder, PHARM.D
• Samantha Suzanne Snyder, BSN, RN
• Cheryl K Sobba, N.P.
• Jaron R Soren, DC
• Leticia Soto, SOCIAL WORKER

• Otolaryngology/Facial Plastic Surgery Physician in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.