Irvin John Snyder

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1413 Issued in WV

Legal business name

IRVIN JOHN SNYDER

Doing business as

Jackson Internal Medicine

Practice address

174 Pinnell St
Suite a
Ripley, WV 25271-9103

Phone

(304) 372-7617

Fax

(304) 372-7619

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Irvin John Snyder, DONPI 1205899317

Title

Physician

Phone

(304) 372-7617

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jackson Internal Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Irvin J Snyder, DO

  • Internal Medicine Physician
  • Ripley, WV
  • NPI 1205899317
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1336369941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 PINNELL ST",
            "address_2": "SUITE A",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719103",
            "telephone_number": "304-372-7617",
            "fax_number": "304-372-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 PINNELL ST",
            "address_2": "SUITE A",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252719103",
            "telephone_number": "304-372-7617",
            "fax_number": "304-372-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVIN JOHN SNYDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-372-7617",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046068000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Hurshman
• Janice Huter
• Teia Elizabeth Hutton
• Christina E Hysell
• Integrated Health Care Providers, Inc.
• Jackson Co Physical Therapy Inc
• Jackson County Board of Education
• Jackson County Board of Education
• Jackson County Board of Health
• Jackson County Board of Health (Jackson County Health Department)

• Internal Medicine Physician in Ripley, WV
• Providers in Ripley, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.