Samantha J Snyder, CSA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

SA162 Issued in KY

Practice address

44 McCoy Ave
Suite 442
Madisonville, KY 42431-2963

Phone

(270) 824-6655

Fax

(270) 824-6629

NPI assigned

Aug 27, 2007

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ssnyder47190@bhkydirect.com

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1215121843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVENUE",
            "address_2": "SUITE 442",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312963",
            "telephone_number": "270-824-6655",
            "fax_number": "270-824-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE",
            "address_2": "SUITE 442",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312963",
            "telephone_number": "270-824-6655",
            "fax_number": "270-824-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": "SA162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000430705",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SURGICAL ASSIST ASSOC #",
            "identifier": "3032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGICAL ASSIST KY BD OF MED LIC #",
            "identifier": "SA162",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Garth Smith, DMD MD
• Jessica Smith
• Kimberly Dawn Smith
• Tanner Smith
• William F. Smith III, M.D.
• Alejandro L Soriano, MD
• Sandra Alexis Soriano, PA-C
• South Main Clinic LLC
• Carla South
• Denise H Sparks, APRN

• Surgical Technologist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Surgical Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.