Individual provider Active NPI

Timothy Brian Snyder, DPM

  • Podiatrist
  • Warren, MI
National Provider Identifier
1245238153
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TS0001939 Issued in MI
Practice address
25656 Schoenherr Rd
Warren, MI 48089-1447
Phone
(586) 779-4820
Fax
(586) 779-9535
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X TS0001939 MI Primary

Addresses

Primary practice location

25656 Schoenherr Rd
Warren, MI 48089-1447

Mailing address

25656 Schoenherr Rd
Warren, MI 48089-1447
Phone (586) 779-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000249 MI Practitioner - Podiatry 5294704458 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Foot Clinic of Lake Orion, P.C.Group PAC ID 4688633167, 2 clinicians

Practice addresses (Care Compare)

102 N Adelaide St
Fenton, MI 48430-2670
Phone (810) 750-8300

1026 S Washington Ave
Royal Oak Foot and Ankle
Royal Oak, MI 48067-3218
Phone (248) 541-4311

191 N Park Blvd
Lake Orion, MI 48362-3147
Phone (248) 693-8400

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue508
Removal of skin lesions442
Removal of nail tissue686
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1371TXMDMarriage & Family Therapist
TS0001939MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Oak Foot & Ankle, PC CurrentSince Aug 20, 2018 Accepting new patients
Associated Foot Clinic of Fenton, P.C. Podiatrist CurrentSince Oct 23, 2006 Accepting new patients
Edward S. Gordon DPM PC Podiatrist CurrentSince Jul 1, 1999 Accepting new patients
Associated Foot Clinic of Lake Orion, P.C. Podiatrist CurrentSince Jan 7, 2014 Accepting new patients
Home Foot Care, LLP Past Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients
Home Foot Care, P.C. Podiatrist Past Accepting new patients

Locations

102 N Adelaide St
Fenton, MI 48430
Phone (810) 629-2245

915 S Dort Hwy
Ste D
Flint, MI 48503
Phone (810) 233-5950

191 N Park Blvd
Lake Orion, MI 48362
Phone (248) 693-8400

1026 S Washington Ave
Royal Oak, MI 48067
Phone (248) 541-4311

25656 Schoenherr Rd
Warren, MI 48089
Phone (586) 779-0511

Interoperability endpoints

  • Direct secure messaging: tsnyder259626@direct.hfhs.org

Organizations & group practices 7

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 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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1245238153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25656 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891447",
            "telephone_number": "586-779-4820",
            "fax_number": "586-779-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25656 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891447",
            "telephone_number": "586-779-4820",
            "fax_number": "586-779-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TIMOTHY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "TS0001939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.