Cecil E Snodgrass M.D. Inc PS

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MD00015382 Issued in WA

Legal business name

CECIL E SNODGRASS M.D. INC PS

Doing business as

View Point Clinic

Practice address

1409 2ND St SE
Puyallup, WA 98372-3706

Phone

(253) 770-3939

Fax

(253) 770-9982

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Denise Snodgrass

Title

Administrator

Phone

(253) 770-3939

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• View Point Clinic Doing business as

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1386829406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 2ND ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723706",
            "telephone_number": "253-770-3939",
            "fax_number": "253-770-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 2ND ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723706",
            "telephone_number": "253-770-3939",
            "fax_number": "253-770-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL E SNODGRASS M.D. INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-770-3939"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MD00015382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517101",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "View Point Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Provider Organization in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.