Individual provider Active NPI

Michael Kent Snider

  • Physician Assistant
  • Centerville, OH
National Provider Identifier
1467820159
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004468 Issued in OH
Practice address
2300 Miami Valley Dr Ste 350
Centerville, OH 45459-1294
Phone
(937) 424-2469
Fax
(937) 424-2479
NPI assigned
Sep 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004468 OH Primary

Addresses

Primary practice location

2300 Miami Valley Dr Ste 350
Centerville, OH 45459-1294

Mailing address

3170 Kettering Blvd
BLDG B 3Rd FL
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8166

Other practice location 2

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007002788 OH Practitioner - Physician Assistant 6002124252 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiology Physicians IncGroup PAC ID 9537060470, 62 clinicians
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

2300 Miami Valley Dr
Centerville, OH 45459-1294

360 W Central Ave
Springboro, OH 45066-1106
Phone (937) 208-7117

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Merit-based Incentive Payment System (MIPS)

Final score
76.49 of 100Reported as group
Quality
68.11
Improvement activities
40
Cost
80.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Physician Assistant CurrentSince Jul 9, 2018 Accepting new patients
Premier Health Specialists Inc CurrentSince Jul 9, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

9000 N Main St
Ste 333
Englewood, OH 45415
Phone (937) 832-8400

9000 N Main St
Ste 100
Englewood, OH 45415

9000 N Main St
Ste G
Englewood, OH 45415

6251 Miami Valley Way
Ste 140
Huber Heights, OH 45424
Phone (937) 236-4780

4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

35 Overbrook Dr
Ste 100
Monroe, OH 45050
Phone (513) 539-7356

35 Overbrook Dr
Monroe, OH 45050
Phone (513) 407-6946

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3590 Busenbark Rd
Trenton, OH 45067
Phone (513) 869-4600

600 Aviator Ct
Ste 100
Vandalia, OH 45377
Phone (937) 208-7776

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1467820159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BLDG B 3RD FL",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MIAMI VALLEY DR STE 350",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454591294",
            "telephone_number": "937-424-2469",
            "fax_number": "937-424-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8166",
            "fax_number": "937-395-8347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8166",
            "fax_number": "937-395-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "MICHAEL",
        "middle_name": "KENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-11",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.