Kevin T Snyder, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009275 Issued in MI

Practice address

1434 Flushing Rd
Flushing, MI 48433-2229

Phone

(810) 659-3196

Fax

(810) 659-5603

NPI assigned

Jul 19, 2006

Last updated

Nov 19, 2014By 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

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevinsnyder@pmi.allscriptsdirect.net
• Direct secure messaging: ksnyder1151933@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.

• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Burton, MI
  • NPI 1598248718
  Medicare reassignment Care Compare group NPD
• Genesys Pho LLC

  • Case Management Agency
  • Burton, MI
  • NPI 1275820110
  Medicare reassignment NPD
• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Mount Morris, MI
  • NPI 1003398470
  NPD
• Henry Ford Medical Group Genesys

  dba Ascension Genesys Ambulatory Therapy

  • Physical Therapist
  • Burton, MI
  • NPI 1114495793
  NPD
• Greater Flint Sports Medicine Center PC

  dba Greater Michigan Orthopedics

  • Orthopaedic Surgery Physician
  • Grand Blanc, MI
  • NPI 1265459150
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1578582391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 FLUSHING RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332229",
            "telephone_number": "810-659-3196",
            "fax_number": "810-659-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 FLUSHING RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332229",
            "telephone_number": "810-659-3196",
            "fax_number": "810-659-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KEVIN",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121126",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "700B54953",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "080182055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Smith
• Shaquante Smith
• Taylor Smith
• Christina Elaine Snider, N.P.
• Julie M Snyder, M.A. CCC-SLP
• Jennifer Sopka, OTR/L
• Joanne Sopko
• Jessica Soriano-Quintana
• Alexandra Sornson, RN
• Miranda Kay Spencer, PMHNP-BC

• Family Medicine Physician in Flushing, MI
• Providers in Flushing, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.

Verify at the official NPI Registry.