Active NPI
Corinthiann Viola Snodgrass, PA-C
- Surgical Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2019-0028
- Practice address
- 6701 Jefferson St NE
Albuquerque, NM 87109-4318 - Phone
- (505) 727-6200
- Fax
- (505) 727-9590
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA2019-0028 | NM | Primary |
Addresses
Primary practice location
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Mailing address
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
Other practice location 1
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55508251 | Medicaid | NM |
Other names 1
- Corinthiann Viola Hawes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (505) 727-7800
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2019-0028 | NM | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients |
Locations
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2400 Unser Blvd SE
Ste 19400
Rio Rancho, NM 87124
Phone (505) 253-6100
Interoperability endpoints
- csnodgrass875942@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1538729439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094318",
"telephone_number": "505-727-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094318",
"telephone_number": "505-727-6200",
"fax_number": "505-727-9590"
}
],
"practiceLocations": [
{
"address_1": "1100 Central Ave SE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871064930",
"country_code": "US",
"telephone_number": "505-841-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNODGRASS",
"first_name": "CORINTHIANN",
"middle_name": "VIOLA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NM",
"license": "PA2019-0028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55508251",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CORINTHIANN",
"last_name": "HAWES",
"middle_name": "VIOLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.