Active NPI
Lory Snady-McCoy, MD
- Ophthalmology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD07778
- Practice address
- 150 E Manning St
Providence, RI 02906-5109 - Phone
- (401) 272-2020
- Fax
- (401) 421-5979
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD07778 | RI | Primary |
Addresses
Primary practice location
150 E Manning St
Providence, RI 02906-5109
Mailing address
150 E Manning St
Providence, RI 02906-5109
Phone (401) 272-2020
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054470 | Other | RI | TUFTS |
| 153551 | Other | RI | HARVARD |
| 180036455 | Other | RI | RAILROAD MEDICARE |
| 4850083 | Other | RI | CIGNA |
| J04938 | Other | RI | RI BLUE SHIELD |
| 0800154 | Other | RI | UNITED |
| 5804476 | Other | RI | AETNA |
| 1620 | Other | RI | NEIGHBORHOOD RI |
| 9001520 | Medicaid | RI | |
| 9782486 | Medicaid | MA | |
| J04938 | Other | RI | MASS BLUE SHIELD |
| 0021248 | Other | MA | NEIGHBORHOOD MA |
| 7000878 | Medicaid | RI | |
| 201432 | Other | RI | BLUE CHIP |
| 603940 | Other | RI | TUFTS GROUP # |
| M17024 | Other | MA | BCBS MASS GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07778 | RI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients |
Locations
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
1 Hoppin St
Ste 202
Providence, RI 02903
Phone (401) 444-6551
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.
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1588641328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E MANNING ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065109",
"telephone_number": "401-272-2020",
"fax_number": "401-421-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E MANNING ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065109",
"telephone_number": "401-272-2020",
"fax_number": "401-421-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNADY-MCCOY",
"first_name": "LORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "RI",
"license": "MD07778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "054470",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "153551",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180036455",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4850083",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE SHIELD",
"identifier": "J04938",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "0800154",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5804476",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD RI",
"identifier": "1620",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9001520",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9782486",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS BLUE SHIELD",
"identifier": "J04938",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD MA",
"identifier": "0021248",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000878",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "201432",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP #",
"identifier": "603940",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MASS GROUP #",
"identifier": "M17024",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.