Active NPI
Neil S Snyder, DPM
- Podiatrist
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 9410M1971
- Practice address
- 16087 Manchester Rd
Ellisville, MO 63011-2103 - Phone
- (636) 230-3883
- Fax
- (636) 230-3884
- NPI assigned
- Nov 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 9410M1971 | MI | Primary |
| Podiatrist | 213E00000X | 000660 | MO |
Addresses
Primary practice location
16087 Manchester Rd
Ellisville, MO 63011-2103
Mailing address
16087 Manchester Rd
Ellisville, MO 63011
Phone (636) 230-3883
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4696830001 | Other | MO | DMERC |
| 303056709 | Medicaid | MO | |
| 480030905 | Other | MO | RRMC |
| 990001778 | Other | GROUP NUMBER | |
| 501463806 | Other | GROUP NUMBER | |
| CK2632 | Other | GROUP NUMBER |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16087 Manchester Rd
Ellisville, MO 63011-2103
Phone (636) 230-3883
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 66 |
| Removal or shaving of skin growth | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000660 | MO | MD | Clinical Social Worker |
| 9410M1971 | MI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neil S Snyder DPM PC | Podiatrist | Current | Accepting new patients |
Locations
16087 Manchester Rd
Ellisville, MO 63011
Phone (636) 230-3883
1224 Graham Rd
Ste 1106
Florissant, MO 63031
Phone (314) 355-2230
5551 Winghaven Blvd
Ste 260
O Fallon, MO 63368
Phone (314) 205-6600
12410 Lusher Rd
Saint Louis, MO 63138
Phone (314) 741-3546
Organizations & group practices 1
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 Surgery Podiatrist
- Ellisville, MO
- NPI 1669679429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1306828199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16087 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "63011",
"telephone_number": "636-230-3883",
"fax_number": "636-230-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16087 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112103",
"telephone_number": "636-230-3883",
"fax_number": "636-230-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "NEIL",
"middle_name": "S",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "9410M1971",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "000660",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4696830001",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303056709",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "480030905",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER",
"identifier": "990001778",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER",
"identifier": "501463806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NUMBER",
"identifier": "CK2632",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.