Active NPI
Greg Snyder, PHD
- Speech-Language Pathologist
- Oxford, MS
National Provider Identifier
1619175072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12032376
- Practice address
- 2301 South Lamar Blvd
Suite 1200
Oxford, MS 38655 - Phone
- (662) 915-7271
- Fax
- (662) 915-7263
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12032376 | MS | Primary |
Addresses
Primary practice location
2301 South Lamar Blvd
Suite 1200
Oxford, MS 38655
Mailing address
PO Box 1848
University, MS 38677
Phone (662) 915-7271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12032376 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1619175072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "UNIVERSITY",
"state": "MS",
"postal_code": "38677",
"telephone_number": "662-915-7271",
"fax_number": "662-915-7263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 SOUTH LAMAR BLVD",
"address_2": "SUITE 1200",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-915-7271",
"fax_number": "662-915-7263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "GREG",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "12032376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.