NPIMap

Individual provider Active NPI

David Snow, D.O.

  • Psychiatry Physician
  • Erie, PA
National Provider Identifier
1699228932
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OT017475 Issued in PA
Practice address
5515 Peach St
Erie, PA 16509-2603
Phone
(315) 264-9140
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OT017475 PA Primary

Addresses

Primary practice location

5515 Peach St
Erie, PA 16509-2603

Mailing address

5515 Peach St
Erie, PA 16509-2603
Phone (315) 264-9140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810003368 PA Practitioner - Psychiatry 6002231834 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Practice addresses (Care Compare)

2222 W Grandview Blvd
Erie, PA 16506-4508
Phone (814) 454-3174

4740 Peach St
Erie, PA 16509-2008
Phone (814) 454-3174

537 W 18TH St
Plaza 18 Medical Center
Erie, PA 16502-1722
Phone (814) 456-1009

5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031

5535 Peach St
FL 1
Erie, PA 16509-2603
Phone (814) 868-3488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT017475PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Current Accepting new patients
Medical Associates of Erie CurrentSince Aug 1, 2020 Accepting new patients
Millcreek Community Hospital Psychiatry CurrentSince May 20, 2021 Accepting new patients
Millcreek Community Hospital Psychiatry CurrentSince Mar 13, 2026 Accepting new patients
Millcreek Community Hospital CurrentSince Apr 28, 2021 Accepting new patients
Millcreek Community Hospital Psychiatry CurrentSince Apr 28, 2021 Accepting new patients
Millcreek Community Hospital CurrentSince Jul 15, 2021 Accepting new patients
Medical Associates of Erie Current Accepting new patients
Medical Associates of Erie CurrentSince Aug 1, 2020 Accepting new patients
Millcreek Community Hospital CurrentSince May 1, 2022 Accepting new patients
Millcreek Community Hospital Past Accepting new patients
Millcreek Community Hospital Past Accepting new patients

Locations

1 Lecom Pl
Erie, PA 16505

2000 W Grandview Blvd
Erie, PA 16509
Phone (814) 868-1001

2222 W Grandview Blvd
Erie, PA 16506
Phone (814) 454-3174

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

4740 Peach St
Erie, PA 16509
Phone (814) 454-3174

537 W 18th St
Erie, PA 16502
Phone (814) 454-3174

537 W 18th St
#18
Erie, PA 16502
Phone (814) 456-1009

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

5535 Peach St
Fl 1
Erie, PA 16509
Phone (814) 868-3488

Interoperability endpoints

  • Direct secure messaging: dsnow@maoeim-pa.direct.office.nextgen.com

Organizations & group practices 12

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.

Hospital & facility affiliations 11

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1699228932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "315-264-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "315-264-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT017475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.