Active NPI
Michael J. Snyder, M.D.
- Orthopaedic Surgery Physician
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 104309
- Practice address
- 1225 West Stadium Blvd
Jefferson City, MO 65109 - Phone
- (573) 635-8000
- Fax
- (573) 556-1710
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 104309 | MO | Primary |
Addresses
Primary practice location
1225 West Stadium Blvd
Jefferson City, MO 65109
Mailing address
PO Box 104240
Jefferson City, MO 65110-4240
Phone (573) 635-5264
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD6058 | Other | MO | RAILROAD GROUP |
| 206722514 | Medicaid | MO | |
| 200029205 | Other | MO | MEDICARE RAILROAD |
| 227765 | Other | MO | HEALTHLINK |
| 49090 | Other | MO | GHP |
| 109395 | Other | MO | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040720001088 | MO | Practitioner - Orthopedic Surgery | 9739169954 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Wisconsin, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson City Medical Group PC
Practice addresses (Care Compare)
1225 W Stadium Blvd
Jefferson City, MO 65109-6003
Phone (573) 636-8000
PO Box
Suite 104240
Jefferson City, MO 65110
PO Box
Suite 104240
Jefferson City, MO 65110-4240
Hospital & facility affiliations
- University of Missouri Health Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104309 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Jefferson City Medical Group, P.C. | Past | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Past | Accepting new patients | |
| Jefferson City Medical Group, PC | Past | Accepting new patients | |
| Jefferson City Medical Group, PC | Past | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Past | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Past | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Jefferson City Medical Group, PC | Past | Accepting new patients | |
| Jefferson City Medical Group, PC | Past | Accepting new patients | |
| Jefferson City Medical Group, PC | Past | Accepting new patients |
Locations
1241 W Stadium Blvd
#L400B
Jefferson Cty, MO 65109
Phone (573) 556-7724
1225 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-7725
1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771
Interoperability endpoints
- michael.snyder@jcmg.eclinicaldirectplus.com
Organizations & group practices 15
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.
-
- Orthopaedic Surgery Physician
- Jefferson City, MO
- NPI 1194880708
MO, Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- Jefferson City, MO
- NPI 1336189398
MO
-
- Family Medicine Physician
- Fulton, MO
- NPI 1649099714
-
- Clinical Medical Laboratory
- Jefferson City, MO
- NPI 1811292105
-
- Family Medicine Physician
- Jefferson City, MO
- NPI 1104645274
-
- Podiatrist
- Jefferson City, MO
- NPI 1871549345
-
- Dermatology Physician
- Jefferson City, MO
- NPI 1972668903
-
- Infusion Therapy Clinic/Center
- Jefferson City, MO
- NPI 1477618486
-
- Pediatrics Physician
- Jefferson City, MO
- NPI 1689614646
-
- Pain Medicine (Anesthesiology) Physician
- Jefferson City, MO
- NPI 1164830337
-
- Emergency Medicine Physician
- Jefferson City, MO
- NPI 1174979520
-
- Anatomic Pathology & Clinical Pathology Physician
- Jefferson City, MO
- NPI 1235723701
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
Hospital
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1285611095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 104240",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651104240",
"telephone_number": "573-635-5264",
"fax_number": "573-556-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 WEST STADIUM BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65109",
"telephone_number": "573-635-8000",
"fax_number": "573-556-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "104309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "CD6058",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206722514",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200029205",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "227765",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "49090",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "109395",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.