Individual provider Active NPI

Kent L Snowden, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1558444646
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R4A20 Issued in MO
Practice address
621 S New Ballas Rd
Ste 1017B
Saint Louis, MO 63141-8232
Phone
(314) 993-6401
Fax
(314) 993-5475
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R4A20 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Ste 1017B
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd
Ste 1017B
Saint Louis, MO 63141-8232
Phone (314) 993-6401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20201007000811 IL Practitioner - Obstetrics/Gynecology 3476449562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Illinois SCGroup PAC ID 7810179702, 27 clinicians

Practice addresses (Care Compare)

701 N 1St St
Springfield, IL 62781-0001
Phone (217) 788-3334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Dec 29, 2020 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Jun 26, 2020 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Dec 29, 2020 Accepting new patients
Blessing Hospital CurrentSince Oct 1, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 14, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Blessing Hospital CurrentSince Oct 1, 2022 Accepting new patients
KJD Incorporated PastSince Jun 14, 2004 Accepting new patients
Associates in OB/GYN Obstetrics & Gynecology Past Accepting new patients

Locations

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1005 Broadway St
Quincy, IL 62301

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: ksnowden134682@direct.carenet.org
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 9

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558444646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 1017B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-993-6401",
            "fax_number": "314-993-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 1017B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-993-6401",
            "fax_number": "314-993-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "KENT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R4A20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.