Active NPI
Snow Family Medicine, Inc.
- Family Medicine Physician
- Melbourne, FL
National Provider Identifier
1679246953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SNOW FAMILY MEDICINE, INC.
- Practice address
- 6013 Farcenda PL Ste 102
Melbourne, FL 32940-7331 - Phone
- (321) 427-5119
- NPI assigned
- Jul 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig Allen Snow, MD
- Title
- President
- Phone
- (321) 427-5119
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6013 Farcenda PL Ste 102
Melbourne, FL 32940-7331
Mailing address
6013 Farcenda PL Ste 102
Melbourne, FL 32940-7331
Phone (321) 427-5119
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2231483 | Snow Family Medicine Inc | Certificate of waiver | Aug 2, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Melbourne, FL
- NPI 1104801653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627689600000",
"number": "1679246953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6013 FARCENDA PL STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407331",
"telephone_number": "321-427-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6013 FARCENDA PL STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407331",
"telephone_number": "321-427-5119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNOW FAMILY MEDICINE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-31",
"last_updated": "2021-07-31",
"certification_date": "2021-07-31",
"status": "A",
"authorized_official_last_name": "SNOW",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-427-5119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.