Active NPI
Stephen R Snyder, CRNA
- Certified Registered Nurse Anesthetist
- Ponca City, OK
National Provider Identifier
1720188105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0029101
- Practice address
- 1900 N 14TH
Ponca City, OK 74602 - Phone
- (580) 765-0428
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0029101 | OK | Primary |
Addresses
Primary practice location
1900 N 14TH
Ponca City, OK 74602
Mailing address
PO Box 1547
Sedalia, MO 65302
Phone (660) 826-5960
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0029101 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720188105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "65302",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N 14TH",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "74602",
"telephone_number": "580-765-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "STEPHEN",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0029101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.