Individual provider Active NPI

Jacob William Snyder, DO

  • Hospitalist Physician
  • Athens, OH
National Provider Identifier
1225520521
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34.015315 Issued in OH
Practice address
55 Hospital Dr
Athens, OH 45701-2302
Phone
(740) 593-5991
NPI assigned
Jun 1, 2018
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 34.015315 OH Primary

Addresses

Primary practice location

55 Hospital Dr
Athens, OH 45701-2302

Mailing address

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210812000512 OH Practitioner - Internal Medicine 6901151687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 592-9349

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Aug 1, 2021 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Aug 1, 2021 Accepting new patients
Sheltering Arms Hospital Foundation, Inc. Past Accepting new patients

Locations

55 Hospital Dr
Ste 1
Athens, OH 45701

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1225520521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-491-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012302",
            "telephone_number": "740-593-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34.015315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.