Active NPI
Stephen Eric Snesko, PA-C
- Pediatrics Physician
- Gilbert, AZ
National Provider Identifier
1396994273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2826
- Practice address
- 2630 S. Val Vista Dr.
BLDG 12, Suite 167
Gilbert, AZ 85295 - Phone
- (480) 857-0222
- Fax
- (480) 857-0222
- NPI assigned
- Sep 16, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2826 | AZ | Primary |
Addresses
Primary practice location
2630 S. Val Vista Dr.
BLDG 12, Suite 167
Gilbert, AZ 85295
Mailing address
2630 S. Val Vista Dr.
BLDG 12, Suite 167
Gilbert, AZ 85295
Phone (480) 857-0222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2826 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1396994273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 S. VAL VISTA DR.",
"address_2": "BLDG 12, SUITE 167",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85295",
"telephone_number": "480-857-0222",
"fax_number": "480-857-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 S. VAL VISTA DR.",
"address_2": "BLDG 12, SUITE 167",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85295",
"telephone_number": "480-857-0222",
"fax_number": "480-857-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNESKO",
"first_name": "STEPHEN",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "2826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
- Smiths Food & Drug Centers Inc (Fry's Pharmacy #655)
- Smiths Food & Drug Centers Inc (Frys Food and Drug)
- Smiths Food & Drug Centers Inc (Frys Food and Drug)
- Smiths Food & Drug Centers Inc (Frys Food and Drug)
- Heath C. Snell, DDS
- Tatum Snow Peterman
- Kathleen Snow, RPH
- Anthony C Snowden, PHARM D
- Jonathan Paul Snyder, PHARMD
- Julie D Snyder, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.