Individual provider Active NPI

Paul E Snyder, MD

  • Dermatology Physician
  • Dartmouth, MA
National Provider Identifier
1477551398
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
051190 Issued in MA
Practice address
368 Faunce Corner Rd
Suite 2
Dartmouth, MA 02747-1257
Phone
(508) 998-1994
Fax
(508) 998-5781
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 051190 MA Primary

Addresses

Primary practice location

368 Faunce Corner Rd
Suite 2
Dartmouth, MA 02747-1257

Mailing address

368 Faunce Corner Rd
Suite 2
Dartmouth, MA 02747-1257
Phone (508) 998-1994

Other identifiers 2

IdentifierTypeStateIssuer
070001700OtherMARAILROAD MEDICARE
6195687MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051018001065 MA Practitioner - Dermatology 0840252607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Pennsylvania State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth Dermatology Associates, PCGroup PAC ID 1850353616, 9 clinicians

Practice addresses (Care Compare)

368 Faunce Corner Rd
Associates PC
Dartmouth, MA 02747-1257
Phone (508) 998-1994

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision75
Removal of tissue1-10
Removal of skin lesions760
Removal or shaving of skin growth30
Skin biopsy149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051190MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth Dermatology Associates, PC Dermatology CurrentSince Apr 1, 1986 Accepting new patients

Locations

368 Faunce Corner Rd
Ste 2
North Dartmouth, MA 02747
Phone (508) 985-5285

368 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 985-5040

Organizations & group practices 1

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1477551398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FAUNCE CORNER RD",
            "address_2": "SUITE 2",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-998-1994",
            "fax_number": "508-998-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 FAUNCE CORNER RD",
            "address_2": "SUITE 2",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-998-1994",
            "fax_number": "508-998-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "051190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070001700",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6195687",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.