NPIMap

Individual provider Active NPI

Keith E. Snow, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Coldwater, OH
National Provider Identifier
1215034491
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
34-00-6954 Issued in OH
Practice address
800 W Main St
Coldwater, OH 45828
Phone
(419) 678-5243
Fax
(419) 586-1257
NPI assigned
Sep 20, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 34-00-6954 OH Primary

Addresses

Primary practice location

800 W Main St
Coldwater, OH 45828

Mailing address

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-5243

Other identifiers 1

IdentifierTypeStateIssuer
2090302MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000013 OH Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8426041286 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology, LLC Current Accepting new patients
Radius Anesthesia of Ohio, LLC CurrentSince Sep 15, 2021 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince May 10, 2016 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince May 10, 2016 Accepting new patients
Ohio Anesthesia Group, Inc CurrentSince Nov 5, 2016 Accepting new patients
Barrett Pain Associates, Inc CurrentSince Dec 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

320 Oxford St
Dover, OH 44622
Phone (330) 365-2101

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

844 Boulevard St
Dover, OH 44622
Phone (330) 473-6615

Interoperability endpoints

  • Direct secure messaging: ksnow442345@direct.osumc.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1215034491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281613",
            "telephone_number": "419-678-5243",
            "fax_number": "419-678-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "45828",
            "telephone_number": "419-678-5243",
            "fax_number": "419-586-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "KEITH",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-03-04",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "34-00-6954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, OH

Sources for this page

Verify at the official NPI Registry.