SNP Direct Paths LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-015101 Issued in PA

Legal business name

SNP DIRECT PATHS LLC

Practice address

206 Kresge Farm Rd
Box 102
Effort, PA 18330-8137

Phone

(954) 249-8694

Fax

(570) 805-2218

NPI assigned

Feb 10, 2017

Last updated

Feb 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Pascal, DONPI 1205097706

Title

Physician Owner/President

Phone

(954) 249-8694

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Pascal, D.O.

  • Family Medicine Physician
  • Stroudsburg, PA
  • NPI 1205097706
  Medicare reassignment Care Compare group NPD Authorized official
• Herline Raphael

  • Nurse Practitioner
  • Stroudsburg, PA
  • NPI 1326584046
  Medicare reassignment Care Compare group NPD
• Olutunde O Odeyemi, MD

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1730100397
  NPD

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1336687201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 KRESGE FARM RD",
            "address_2": "BOX102",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183308137",
            "telephone_number": "954-249-8694",
            "fax_number": "570-805-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 KRESGE FARM RD",
            "address_2": "BOX 102",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183308137",
            "telephone_number": "954-249-8694",
            "fax_number": "570-805-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNP DIRECT PATHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "PASCAL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-249-8694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-015101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025705320001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 03062)
• Carissa Peppard, OTR
• Rhodium Care Group of PA PLLC
• Ride4Health Scranton
• Bridget Schultz, DMD
• Sped Consulting & Therapy
• Patricia A Tosi, OT
• Kevin William Truszkowski, L.M.T. (LICENSE MASS
• Ann Marie Turso, OT
• Helen Vinck, PT

• Family Medicine Physician in Effort, PA
• Providers in Effort, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.