NPIMap

Organization Active NPI

Jon a. Snellgrove DPM PA

  • Podiatrist
  • Pensacola, FL
National Provider Identifier
1447458419
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3012 Issued in FL
Legal business name
JON A. SNELLGROVE DPM PA
Practice address
6202 N. 9TH Ave.
Suite 4
Pensacola, FL 32504-8291
Phone
(850) 470-0477
Fax
(850) 470-0187
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Jonathan Arthur SnellgroveNPI 1548260060
Title
Owner
Phone
(850) 470-0477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO3012 FL Primary

Addresses

Primary practice location

6202 N. 9TH Ave.
Suite 4
Pensacola, FL 32504-8291

Mailing address

1320 N 9TH Ave
Pensacola, FL 32503-5926
Phone (850) 470-0477

National Provider Directory

National Provider Directory

Locations

1320 N 9th Ave
Pensacola, FL 32503
Phone (850) 470-0477

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1447458419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325035926",
            "telephone_number": "850-470-0477",
            "fax_number": "850-470-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 N. 9TH AVE.",
            "address_2": "SUITE 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048291",
            "telephone_number": "850-470-0477",
            "fax_number": "850-470-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON A. SNELLGROVE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "SNELLGROVE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-470-0477"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.