NPIMap

Organization Active NPI

Renee Snyder MD PA

Doing business as Snyder Dermatology

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1346331782
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M0280 Issued in TX
Legal business name
RENEE SNYDER MD PA
Doing business as
Snyder Dermatology
Practice address
1510 W 34TH St Ste 100
Austin, TX 78703-1432
Phone
(512) 533-9900
Fax
(512) 533-9901
NPI assigned
Sep 28, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Renee R Snyder, MDNPI 1942281639
Title
Owner
Phone
(512) 533-9900

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
Dermatology Physician 207N00000X M0280 TX Primary

Addresses

Primary practice location

1510 W 34TH St Ste 100
Austin, TX 78703-1432

Mailing address

1510 W 34TH St Ste 100
Austin, TX 78703-1432
Phone (512) 533-9900

Other identifiers 1

IdentifierTypeStateIssuer
00430YOtherTXMEDICARE GROUP PTAN

Other names 1

  • Snyder Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050328000872 TX Part B Supplier - Clinic/Group Practice 4587610050 Receives reassigned benefits from 7 practitioners
Practice locations: Austin, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2031619Renee Snyder MD1510 W 34TH Street Suite 100, Austin, TX 78703Provider-performed microscopyOct 23, 2027

National Provider Directory

National Provider Directory

Locations

505 W Louis Henna Blvd
Ste 200
Austin, TX 78728
Phone (512) 956-0296

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1346331782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W 34TH ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031432",
            "telephone_number": "512-533-9900",
            "fax_number": "512-533-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W 34TH ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031432",
            "telephone_number": "512-533-9900",
            "fax_number": "512-533-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE SNYDER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-04-03",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-533-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M0280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00430Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snyder Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.