Active NPI
Snyder Medical Clinic
- Family Medicine Physician
- Bristow, OK
National Provider Identifier
1730102872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19802
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.