Individual provider Active NPI

Sharon L Snyder, PAC

  • Physician Assistant
  • Aberdeen, SD
National Provider Identifier
1538165253
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0283 Issued in SD
Practice address
701 8TH Ave NW
Aberdeen, SD 57401-1803
Phone
(605) 226-2663
Fax
(605) 226-0095
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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 0283 SD Primary

Addresses

Primary practice location

701 8TH Ave NW
Aberdeen, SD 57401-1803

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 226-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283SDMDGeneral Practice Dentistry
0283SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke'S CurrentSince Feb 17, 2011 Accepting new patients
Avera St. Lukes CurrentSince Feb 17, 2011 Accepting new patients

Locations

701 8th Ave NW
Aberdeen, SD 57401
Phone (605) 225-3300

201 S Lloyd St
Aberdeen, SD 57401
Phone (602) 225-8800

201 S Lloyd St
Ste E101
Aberdeen, SD 57401
Phone (605) 225-8800

701 8th Ave NW
Ste A
Aberdeen, SD 57401

Organizations & group practices 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1538165253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011803",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "SHARON",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.