Active NPI
Timothy Brian Snyder, DPM
- Podiatrist
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- TS0001939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 508 |
| Removal of skin lesions | 442 |
| Removal of nail tissue | 686 |
| Removal or shaving of skin growth | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1371 | TX | MD | Marriage & Family Therapist |
| TS0001939 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royal Oak Foot & Ankle, PC | Current | Accepting new patients | |
| Associated Foot Clinic of Fenton, P.C. | Podiatrist | Current | Accepting new patients |
| Edward S. Gordon DPM PC | Podiatrist | Current | Accepting new patients |
| Associated Foot Clinic of Lake Orion, P.C. | Podiatrist | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Lake Orion, MI
- NPI 1821106584
MI, Podiatrist
-
- Foot & Ankle Surgery Podiatrist
- Fenton, MI
- NPI 1962570853
MI, Podiatrist
-
- Primary Podiatric Medicine Podiatrist
- Houston, TX
- NPI 1437147634
-
- Podiatrist
- Houston, TX
- NPI 1730228925
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.