Organization Active NPI

Kenneth R. Snyder, MD, PA

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1306967005
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0070209 Issued in FL
Legal business name
KENNETH R. SNYDER, MD, PA
Practice address
11162 Osprey Lake LN
West Palm Beach, FL 33412-1115
Phone
(772) 321-5070
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Kenneth Richard Snyder, MDNPI 1528177102
Title
MD
Phone
(772) 321-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0070209 FL Primary

Addresses

Primary practice location

11162 Osprey Lake LN
West Palm Beach, FL 33412-1115

Mailing address

11162 Osprey Lake LN
West Palm Beach, FL 33412-1115
Phone (772) 321-5070

National Provider Directory

National Provider Directory

Locations

8000 Ron Beatty Blvd
Ste B
Barefoot Bay, FL 32976
Phone (772) 664-9926

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1306967005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11162 OSPREY LAKE LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121115",
            "telephone_number": "772-321-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11162 OSPREY LAKE LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121115",
            "telephone_number": "772-321-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. SNYDER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "772-321-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0070209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.