Individual provider Active NPI

Richard Gale Snyder, MD

  • General Practice Physician
  • North Myrtle Beach, SC
National Provider Identifier
1376711382
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11701 Issued in SC
Practice address
3816 Highway 17 S
North Myrtle Beach, SC 29582-5069
Phone
(843) 272-1411
Fax
(843) 272-2130
NPI assigned
Feb 12, 2008
Last updated
Oct 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11701 SC Primary

Addresses

Primary practice location

3816 Highway 17 S
North Myrtle Beach, SC 29582-5069

Mailing address

3816 Highway 17 S
North Myrtle Beach, SC 29582-5069
Phone (843) 272-1411

Other identifiers 1

IdentifierTypeStateIssuer
117019MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000148 SC Practitioner - General Practice 6901976760 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11701SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Carenow Urgent Care, LLC CurrentSince Sep 1, 2021 Accepting new patients
Urgent Care & Family Medicine Conway, LLC CurrentSince Feb 1, 2022 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Oct 1, 2013 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Oct 1, 2013 Accepting new patients

Locations

235 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3315

235 Singleton Ridge Rd
Ste 103
Conway, SC 29526
Phone (843) 347-2121

9820 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-2273

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1376711382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 HIGHWAY 17 S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295825069",
            "telephone_number": "843-272-1411",
            "fax_number": "843-272-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 HIGHWAY 17 S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295825069",
            "telephone_number": "843-272-1411",
            "fax_number": "843-272-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "RICHARD",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "11701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117019",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.