Individual provider Active NPI

Paul A Snowdy, PA

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1649210774
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001703 Issued in IA
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

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IA0100OtherIAUHC OF THE RIVER VALLEY
27099OtherIAWELLMARK 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000347 KY Practitioner - Physician Assistant 7416905187 Reassigns benefits to 3 organizations

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
Somerset Medical Group PLLCGroup PAC ID 3577581909, 3 clinicians
Lake Cumberland Regional Hospital LLCGroup PAC ID 7214909456, 43 clinicians

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 Home health agency, Somerset, KY, CCN 187099
  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1220TNMDSpeech-Language Pathologist
001703IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Hospital LLC Physician Assistant CurrentSince Dec 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.