Joel Charles Snover, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601011288 Issued in MI

Practice address

7804 Allen Rd
Allen Park, MI 48101-1702

Phone

(313) 388-0033

Fax

(313) 388-1188

NPI assigned

Oct 13, 2021

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: joel.snover.1@23214.direct.athenahealth.com
• Direct secure messaging: jsnover687322@direct.hfhs.org

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.

• Primary Care Center PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1780292623
  Medicare reassignment
• Care Well Medical Center PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1851107429
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1528721867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011702",
            "telephone_number": "313-388-0033",
            "fax_number": "313-388-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011702",
            "telephone_number": "313-388-0033",
            "fax_number": "313-388-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOVER",
        "first_name": "JOEL",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601011288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.