NPIMap

Organization Active NPI

Stuart R Snyder PA

  • Podiatrist
  • Gaithersburg, MD
National Provider Identifier
1154501351
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00614 Issued in MD
Legal business name
STUART R SNYDER PA
Practice address
10810 Darnestown Rd
Suite #101
Gaithersburg, MD 20878-2675
Phone
(301) 762-3338
Fax
(301) 762-1585
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Dr. Stuart R Snyder, DPMNPI 1578654042
Title
Owner
Phone
(301) 762-3338

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00614 MD Primary

Addresses

Primary practice location

10810 Darnestown Rd
Suite #101
Gaithersburg, MD 20878-2675

Mailing address

10810 Darnestown Rd
Suite #101
Gaithersburg, MD 20878-2675
Phone (301) 762-3338

Other practice location 1

601 Maiden Choice Ln
Catonsville, MD 21228-3630
Phone (301) 762-3338

Other identifiers 1

IdentifierTypeStateIssuer
256468800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040830000721 DC Part B Supplier - Clinic/Group Practice 7012982481 Receives reassigned benefits from 3 practitioners
Practice locations: Gaithersburg, MD
O20100930067720 MD DME Supplier - Physician - Podiatry 7012982481 Practice locations: Gaithersburg, MD
O20220528000020 MD Part B Supplier - Clinic/Group Practice 7012982481 Receives reassigned benefits from 1 practitioner
Practice locations: Catonsville, MD

National Provider Directory

National Provider Directory

Locations

10810 Darnestown Rd
Gaithersburg, MD 20878
Phone (301) 257-6133

Practitioners & affiliated clinicians

Practitioners 3

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1154501351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD",
            "address_2": "SUITE #101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782675",
            "telephone_number": "301-762-3338",
            "fax_number": "301-762-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD",
            "address_2": "SUITE #101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782675",
            "telephone_number": "301-762-3338",
            "fax_number": "301-762-1585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Maiden Choice Ln",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212283630",
            "country_code": "US",
            "telephone_number": "301-762-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STUART R SNYDER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-762-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256468800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.