Active NPI
Denise Suzanne Snow, MD
- Medical Oncology Physician
- Fargo, ND
National Provider Identifier
1669494209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 9718
- Practice address
- 820 4TH St N
Fargo, ND 58122-0001 - Phone
- (701) 234-6161
- Fax
- (701) 234-3861
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 9718 | ND | Primary |
Addresses
Primary practice location
820 4TH St N
Fargo, ND 58122-0001
Mailing address
820 4TH St N
Fargo, ND 58122-0001
Phone (701) 234-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13049 | Medicaid | ND | |
| 492432100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9718 | ND | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1669494209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 4TH ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581220001",
"telephone_number": "701-234-6161",
"fax_number": "701-234-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 4TH ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581220001",
"telephone_number": "701-234-6161",
"fax_number": "701-234-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "DENISE",
"middle_name": "SUZANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "ND",
"license": "9718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13049",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "492432100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.