Active NPI
George E Snider Jr., MD
- Otolaryngology Physician
- Morgantown, WV
National Provider Identifier
1376622142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 10645
- Practice address
- 1188 Pineview Dr
Morgantown, WV 26505 - Phone
- (304) 599-3959
- Fax
- (304) 599-1719
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 10645 | WV | Primary |
Addresses
Primary practice location
1188 Pineview Dr
Morgantown, WV 26505
Mailing address
1188 Pineview Dr
Morgantown, WV 26505
Phone (304) 599-3959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101442000 | Medicaid | WV |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gsnider623@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | gsnider623@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10645 | WV | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1376622142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 PINEVIEW DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-599-3959",
"fax_number": "304-599-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 PINEVIEW DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-599-3959",
"fax_number": "304-599-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "GEORGE",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WV",
"license": "10645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101442000",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gsnider623@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gsnider623@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.