Individual provider Active NPI

Allan Robert Snyder, DO

  • Internal Medicine Physician
  • South Hampton, PA
National Provider Identifier
1245208958
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS003162L Issued in PA
Practice address
57 St Rd
Suite G
South Hampton, PA 18966
Phone
(215) 322-7060
Fax
(215) 322-0663
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS003162L PA Primary

Addresses

Primary practice location

57 St Rd
Suite G
South Hampton, PA 18966

Mailing address

57 G St Rd
South Hampton, PA 18966
Phone (215) 322-7060

Other identifiers 1

IdentifierTypeStateIssuer
0006129170001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070613000086 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2769580885 Practice locations: Southampton, PA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Allan R Snyder PastSince Jun 18, 2007 Accepting new patients
Deer Meadows Operating LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1245208958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 G ST RD",
            "city": "SOUTH HAMPTON",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-322-7060",
            "fax_number": "215-322-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 ST RD",
            "address_2": "SUITE G",
            "city": "SOUTH HAMPTON",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-322-7060",
            "fax_number": "215-322-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ALLAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS003162L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006129170001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.