Individual provider Active NPI

John Snell, M.D.

  • Anesthesiology Physician
  • Easton, MD
National Provider Identifier
1194707166
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0044952 Issued in MD
Practice address
219 S Washington St
Easton, MD 21601-2913
Phone
(410) 822-1000
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0044952 MD Primary

Addresses

Primary practice location

219 S Washington St
Easton, MD 21601-2913

Mailing address

111 Continental Dr
Suite 412
Newark, DE 19713-4306
Phone (888) 709-3118

Other identifiers 1

IdentifierTypeStateIssuer
123111100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000339 MD Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9335125806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Anesthesia Associates, PAGroup PAC ID 1254300361, 35 clinicians

Practice addresses (Care Compare)

6 Caulk LN
Easton, MD 21601-3854
Phone (410) 822-5559

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0044952MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Anesthesia Associates Anesthesiology Current Accepting new patients
Tidewater Anesthesia Associates, PA Anesthesiology CurrentSince Mar 1, 1998 Accepting new patients
Tidewater Pain Associates, PA Anesthesiology Past Accepting new patients

Locations

6 Caulk Ln
Easton, MD 21601
Phone (410) 822-5552

510 Idlewild Ave
Ste 110
Easton, MD 21601
Phone (410) 820-4470

219 S Washington St
Easton, MD 21601

219 S Washington St
Fl 4
Easton, MD 21601

Interoperability endpoints

  • Direct secure messaging: jsnell483399@direct.umm.edu

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1194707166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CONTINENTAL DR",
            "address_2": "SUITE 412",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134306",
            "telephone_number": "888-709-3118",
            "fax_number": "302-709-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "410-822-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELL",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0044952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123111100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.