Individual provider Active NPI

Rosalie Snyder, MD

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1396732020
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD036672E Issued in PA
Practice address
3050 Hamilton Blvd
Suite 105
Allentown, PA 18103-3691
Phone
(610) 432-2013
Fax
(610) 432-6559
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD036672E PA Primary

Addresses

Primary practice location

3050 Hamilton Blvd
Suite 105
Allentown, PA 18103-3691

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-6048

Other identifiers 1

IdentifierTypeStateIssuer
07171529MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080324000266 PA Practitioner - Family Practice 2466538053 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036672EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hosptial Family Medicine CurrentSince Mar 25, 2015 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jun 16, 2014 Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jun 16, 2014 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Family Medicine CurrentSince Oct 31, 2016 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Family Medicine CurrentSince Oct 31, 2016 Accepting new patients
St. Luke'S Hospital Family Medicine Current Accepting new patients
St Luke'S Hospital CurrentSince Mar 25, 2015 Accepting new patients

Locations

3050 Hamilton Blvd
Ste 105
Allentown, PA 18103
Phone (484) 822-5920

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

8031 Main St
Fogelsville, PA 18051
Phone (610) 336-4676

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

575 S 9th St
Ste 7
Lehighton, PA 18235
Phone (570) 645-1000

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1396732020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HAMILTON BLVD",
            "address_2": "SUITE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033691",
            "telephone_number": "610-432-2013",
            "fax_number": "610-432-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ROSALIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD036672E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07171529",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.