Organization Active NPI

Snyder Medical Clinic

  • Family Medicine Physician
  • Bristow, OK
National Provider Identifier
1730102872
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19802 Issued in OK
Legal business name
SNYDER MEDICAL CLINIC
Practice address
519 N Main St
Bristow, OK 74010-2016
Phone
(918) 367-3272
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane Snyder
Title
MD
Phone
(918) 492-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 19802 OK Primary

Addresses

Primary practice location

519 N Main St
Bristow, OK 74010-2016

Mailing address

519 N Main St
Bristow, OK 74010-2016
Phone (918) 367-3272

National Provider Directory

National Provider Directory

Locations

519 N Main St
Bristow, OK 74010
Phone (918) 367-1444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730102872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N MAIN ST",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740102016",
            "telephone_number": "918-367-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N MAIN ST",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740102016",
            "telephone_number": "918-367-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "918-492-6333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "19802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.