Individual provider Active NPI

Roger Owen Snyder, MD

  • Family Medicine Physician
  • Ashland, OH
National Provider Identifier
1598746752
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51146 Issued in OH
Practice address
1941 Baney Rd S
Ashland Family Practice/Samaritan Professional Corp
Ashland, OH 44805-4502
Phone
(419) 289-0333
Fax
(419) 281-7903
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51146 OH Primary

Addresses

Primary practice location

1941 Baney Rd S
Ashland Family Practice/Samaritan Professional Corp
Ashland, OH 44805-4502

Mailing address

PO Box 72098
Cleveland, OH 44192-0002
Phone (419) 289-0333

Other identifiers 1

IdentifierTypeStateIssuer
0567060MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rogersnyder@uhps.allscriptsdirect.net

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51146OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rsnyder21074@ehrdirect.uhhospitals.org

Organizations & group practices 1

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1598746752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72098",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "419-289-0333",
            "fax_number": "419-281-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BANEY RD S",
            "address_2": "ASHLAND FAMILY PRACTICE/SAMARITAN PROFESSIONAL CORP",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054502",
            "telephone_number": "419-289-0333",
            "fax_number": "419-281-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ROGER",
        "middle_name": "OWEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "51146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0567060",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rogersnyder@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "UH Ashland Family Practice",
            "address_1": "1941 Baney Rd S",
            "address_2": "Ashland Family Practice/Samaritan Professional Corp",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448054502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.