Organization Active NPI

Snyderman Shoes Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
National Provider Identifier
1619961901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930016226 FL DME Supplier - Department StoreDME Supplier - Pedorthic Personnel 7214149194 Practice locations: Fort Myers, FL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Snyderman Shoes Inc1900 Trailwinds Dr, Fort Myers, FL 33907-3051(239) 939-2239 Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Oct 12, 2001

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.