Active NPI
Snyderman Shoes Inc.
- Durable Medical Equipment & Medical Supplies
- Fort Myers, FL
National Provider Identifier
1619961901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SNYDERMAN SHOES INC.
- Practice address
- 1900 Trailwinds Dr
Fort Myers, FL 33907-3051 - Phone
- (239) 939-2239
- Fax
- (239) 939-7792
- NPI assigned
- Sep 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard H. Snyderman, RFO
- Title
- Owner
- Phone
- (239) 939-2239
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1900 Trailwinds Dr
Fort Myers, FL 33907-3051
Mailing address
1900 Trailwinds Dr
Fort Myers, FL 33907-3051
Phone (239) 939-2239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016226 | FL | DME Supplier - Department Store | 7214149194 | Practice locations: Fort Myers, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Snyderman Shoes Inc | Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1900 Trailwinds Dr
Fort Myers, FL 33907
Phone (239) 939-2239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1619961901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 TRAILWINDS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073051",
"telephone_number": "239-939-2239",
"fax_number": "239-939-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 TRAILWINDS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073051",
"telephone_number": "239-939-2239",
"fax_number": "239-939-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNYDERMAN SHOES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SNYDERMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-939-2239",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RFO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.