Organization Active NPI

Ned Snyder IV, M.D., P.a.

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1124119557
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
NED SNYDER IV, M.D., P.A.
Practice address
1510 W 34TH St Ste 100
Austin, TX 78703-1432
Phone
(512) 533-9900
Fax
(512) 533-9901
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Ned Snyder IV, M.D.NPI 1265413959
Title
Owner
Phone
(512) 533-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X M0927 TX
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1510 W 34TH St Ste 100
Austin, TX 78703-1432

Mailing address

1510 W 34TH St Ste 100
Austin, TX 78703-1432
Phone (512) 533-9900

Other identifiers 2

IdentifierTypeStateIssuer
00339ZOtherTXMEDICARE GROUP PTAN
311106401OtherTXMEDICAID GROUP TPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050908001176 TX Part B Supplier - Clinic/Group Practice 4789616814 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX; New Braunfels, TX; Marble Falls, TX; Lakeway, TX; Georgetown, TX
O20151204001845 AZ Part B Supplier - Clinic/Group Practice 4789616814 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8913 E Bell Rd
Scottsdale, AZ 85260

1510 W 34th St
Ste 100
Austin, TX 78703
Phone (512) 459-4899

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1124119557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W 34TH ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031432",
            "telephone_number": "512-533-9900",
            "fax_number": "512-533-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W 34TH ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031432",
            "telephone_number": "512-533-9900",
            "fax_number": "512-533-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NED SNYDER IV, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "NED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-533-9900",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M0927",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00339Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP TPI",
            "identifier": "311106401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.