Active NPI
Charles R Snyder, M.D.
- Orthopaedic Surgery Physician
- Ogallala, NE
National Provider Identifier
1306806286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 22470
- Practice address
- 2601 N Spruce St
Ogallala, NE 69153-2465 - Phone
- (308) 284-3645
- NPI assigned
- Mar 24, 2006
- 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 | 22470 | NE | Primary |
Addresses
Primary practice location
2601 N Spruce St
Ogallala, NE 69153-2465
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
Phone (602) 495-4577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470767637-13 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1306806286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N 12TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062837",
"telephone_number": "602-495-4577",
"fax_number": "602-417-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N SPRUCE ST",
"city": "OGALLALA",
"state": "NE",
"postal_code": "691532465",
"telephone_number": "308-284-3645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "22470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470767637-13",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogallala, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.