Active NPI
Jason Robert Snider
- Diagnostic Radiology Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2024-01405
- Practice address
- 2301 Erwin Rd
Durham, NC 27710-5164 - Phone
- (919) 684-8111
- NPI assigned
- Apr 12, 2019
- Last updated
- Jul 9, 2024
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2024-01405 | NC | Primary |
Addresses
Primary practice location
2301 Erwin Rd
Durham, NC 27710-5164
Mailing address
2301 Erwin Rd
Durham, NC 27710-5164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of South Alabama College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 549-0370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Weiser Valley Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Boise Radiology Group PLLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
234 Crooked Creek Pkwy
Durham, NC 27713
Phone (919) 385-3000
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Boise, ID
- NPI 1740216175
-
- Family Medicine Physician
- Weiser, ID
- NPI 1255364030
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Critical Access Hospital
- Boise, ID
- NPI 1639373772
Diagnostic Radiology
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Elmore
- Ambulance
- Mountain Home, ID
- NPI 1477954204
Hospital
-
dba St Lukes Elmore Medical Center
- Critical Access Hospital
- Mountain Home, ID
- NPI 1699013565
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba St Lukes Nampa Medical Center
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
-
dba St Lukes Wood River Medical Center
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
-
dba Weiser Memorial Hospital
- Critical Access Hospital
- Weiser, ID
- NPI 1881641629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1679036917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277105164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277105164",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "JASON",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-12",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2024-01405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- James Robert Snapper, M.D.
- Evangeline Danene Snell, LCSW
- Sabrina Snetter
- SNF Physiatry Services NC PLLC (American Physiatry)
- SNH SE Tenant TRS, Inc (Seasons @ Southpoint)
- Scott Marston Snider
- Jasmine Snipe
- Jamere Snipes, MASSAGE THERAPIST
- Sarah Bumgardner Snotherly, PHARMD
- Caroline May Snow, M.S CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.