Active NPI
Walter M Snihurowych, M.D.
- Specialist
- Price, UT
National Provider Identifier
1669428736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 163736-1205
- Practice address
- 250 N Fairgrounds Rd
Price, UT 84501-4203 - Phone
- (435) 637-4048
- Fax
- (435) 636-0171
- NPI assigned
- May 26, 2006
- Last updated
- May 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 163736-1205 | UT | Primary |
Addresses
Primary practice location
250 N Fairgrounds Rd
Price, UT 84501-4203
Mailing address
PO Box 964
Price, UT 84501-0964
Phone (435) 637-4048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015125 | Other | UT | THE FUNDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040117000150 | UT | Practitioner - Urology | 0345141875 | Practice locations: Roosevelt, UT; Price, UT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163736-1205 | UT | MD | Specialist |
Interoperability endpoints
- bye9784@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1669428736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 964",
"city": "PRICE",
"state": "UT",
"postal_code": "845010964",
"telephone_number": "435-637-4048",
"fax_number": "435-636-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N FAIRGROUNDS RD",
"city": "PRICE",
"state": "UT",
"postal_code": "845014203",
"telephone_number": "435-637-4048",
"fax_number": "435-636-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIHUROWYCH",
"first_name": "WALTER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "163736-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE FUNDS",
"identifier": "1015125",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
- Miranda Shaw
- Brittany Smith
- Kevin Smith
- Paul Kirsten Smith, D.P.T
- Smiths Food & Drug Centers Inc (Smiths Pharmacy #48)
- Mark Soffe, DDS
- South Eastern Utah Pathology PLCC
- Southeast Chiropractic Incorporated
- Southeastern Utah Association of Local Governments
- Southeastern Utah Association of Local Governments
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.