Active NPI
Richard Gale Snyder, MD
- General Practice Physician
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11701
- 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, 2008
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117019 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11701 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Urgent Care & Family Medicine Conway, LLC | Current | Accepting new patients | |
| Medcare Express - North Charleston LLC | Current | Accepting new patients | |
| Medcare Urgent Care Center - Anderson LLC | Current | 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.
-
dba Medcare Urgent Care
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
- Family Medicine Physician
- Conway, SC
- NPI 1295386662
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1689004095
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.