Active NPI
Paul A Snowdy, PA
- Physician Assistant
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001703
- Practice address
- 6601 SW 9TH St
Des Moines, IA 50315-6138 - Phone
- (515) 643-9431
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001703 | IA | Primary |
| Physician Assistant | 363A00000X | 1220 | TN |
Addresses
Primary practice location
6601 SW 9TH St
Des Moines, IA 50315-6138
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-4973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IA0100 | Other | IA | UHC OF THE RIVER VALLEY |
| 27099 | Other | IA | WELLMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Tower Cir
Somerset, KY 42503-3476
Phone (606) 425-4895
20 Tower Cir
Somerset, KY 42503-3476
Phone (606) 425-4895
30 Tower Cir
Somerset, KY 42503-3476
Phone (606) 451-8644
350 Hospital Way
Suite 100
Somerset, KY 42503-1872
Phone (606) 451-2600
353 Bogle St a
Somerset, KY 42503-2889
Phone (606) 451-3820
Hospital & facility affiliations
- Lifeline Health Care of Pulaski
- Lake Cumberland Regional Hospital
- Baptist Health Corbin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1220 | TN | MD | Speech-Language Pathologist |
| 001703 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional Hospital LLC | Physician Assistant | Current | Accepting new patients |
| Lake Cumberland Regional Hospital, LLC | Physician Assistant | Past | Accepting new patients |
| Emergency Services Network, PLLC. | Past | Accepting new patients |
Locations
10 Tower Cir
Somerset, KY 42503
Phone (606) 425-4895
305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994
350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600
Interoperability endpoints
- paul.snowdy.1@21269.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Somerset, KY
- NPI 1861078685
Physician Assistant
-
- Internal Medicine Physician
- Somerset, KY
- NPI 1235242223
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Clarksville, TN
- NPI 1902852007
-
- Internal Medicine Physician
- Somerset, KY
- NPI 1447330451
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
-
- Home Health Agency
- Somerset, KY
- NPI 1114951993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1649210774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 SW 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503156138",
"telephone_number": "515-643-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOWDY",
"first_name": "PAUL",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "001703",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1220",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC OF THE RIVER VALLEY",
"identifier": "IA0100",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BLUE SHIELD",
"identifier": "27099",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.
- 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.