Ian Phillip Snider, DO

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

OS019945 Issued in PA

Practice address

317 W Lockhart St
Sayre, PA 18840-1618

Phone

(570) 887-3920

Fax

(570) 887-3035

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Auburn Pediatric and Adult Medicine, L.L.C.Group PAC ID 1557452752, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iansnider@apaam.allscriptsdirect.net
• Direct secure messaging: isnider142980@direct-guthrie.org

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.

• Auburn Pediatric and Adult Medicine, L.L.C.

  • Multi-Specialty Clinic/Center
  • Auburn, AL
  • NPI 1013126937
  Medicare reassignment Care Compare group NPD
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Athens, PA
  • NPI 1962451153
  Medicare reassignment NPD
• Guthrie Medical Group, P.C.

  • General Practice Physician
  • Sayre, PA
  • NPI 1245246644

  Family Medicine

  NPD
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Sayre, PA
  • NPI 1508818733
  NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1326262031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858",
            "fax_number": "570-887-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W LOCKHART ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401618",
            "telephone_number": "570-887-3920",
            "fax_number": "570-887-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Kempsville Rd",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023800",
            "country_code": "US",
            "telephone_number": "757-955-2828",
            "fax_number": "757-955-2829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "IAN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "PA",
            "license": "OS019945",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PA",
            "license": "OS019945",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "PA",
            "license": "OS019945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isnider142980@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "317 W Lockhart St",
            "city": "Sayre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188401618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce C Slagle, M.D.
• Melanie Jean Slavens, MS, RD, CDN
• Abigail Kristin Smith, DMD
• Sierra Smith
• Stefanie Ann Smith, M.S., CCC-SLP
• Bronson Lewis Snoddy
• Carolyn Jean Snyder-Sherman, NP
• Bonnie L. Snyder, PA-C
• Holly Snyder, DC, LAC
• Kenneth Sobel, M.D.

• Obesity Medicine (Family Medicine) Physician in Sayre, PA
• Providers in Sayre, PA by specialty
• Obesity Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.

Verify at the official NPI Registry.