Individual provider Active NPI

Jeffery S Snyder, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gainesville, FL
National Provider Identifier
1447234364
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME43158 Issued in FL
Practice address
1121 NW 64TH Ter
Suite B
Gainesville, FL 32605-4243
Phone
(352) 331-3583
Fax
(352) 331-3669
NPI assigned
Dec 5, 2005
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME43158 FL Primary

Addresses

Primary practice location

1121 NW 64TH Ter
Suite B
Gainesville, FL 32605-4243

Mailing address

1121 NW 64TH Ter
Suite B
Gainesville, FL 32605-4243
Phone (352) 331-3583

Other identifiers 1

IdentifierTypeStateIssuer
273159200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JEFFERY.SNYDER@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040719000094 FL Practitioner - Cardiac SurgeryPractitioner - Vascular SurgeryPractitioner - Thoracic Surgery 8527047349 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
University of South Alabama College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Regional Healthcare LLCGroup PAC ID 4486724846, 20 clinicians

Practice addresses (Care Compare)

2770 Capital Medical Blvd
Suite 109
Tallahassee, FL 32308-8419
Phone (850) 877-0216

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Healthcare LLC CurrentSince Jul 1, 2014 Accepting new patients
Northwest Florida Multispecialty Physicians LLC CurrentSince Oct 12, 2020 Accepting new patients
West Florida Specialty Physicians LLC CurrentSince Feb 11, 2020 Accepting new patients
Capital Regional Heart Associates, LLC CurrentSince Aug 8, 2016 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
West Florida Cardiology Physicians, LLC PastSince Feb 11, 2020 Accepting new patients
Capital Regional Healthcare Past Accepting new patients

Locations

1032 Mar Walt Dr
Unit 230
Ft Walton Bch, FL 32547
Phone (850) 862-3194

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

8333 N Davis Hwy
Fl 9
Pensacola, FL 32514

1910 Hillbrooke Trl
Ste 2
Tallahassee, FL 32311
Phone (850) 878-2637

2770 Capital Medical Blvd
Ste 109
Tallahassee, FL 32308
Phone (850) 877-0320

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jeffery.snyder@hca5.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1447234364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NW 64TH TER",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054243",
            "telephone_number": "352-331-3583",
            "fax_number": "352-331-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NW 64TH TER",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054243",
            "telephone_number": "352-331-3583",
            "fax_number": "352-331-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JEFFERY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME43158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273159200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JEFFERY.SNYDER@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1121 NW 64th Ter",
            "address_2": "SUITE B",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326054243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.