Individual provider Active NPI

Raymond P Snyder, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Yakima, WA
National Provider Identifier
1730155524
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD00025745 Issued in WA
Practice address
111 S 11TH Ave Ste 320
Yakima, WA 98902-3273
Phone
(509) 454-8888
Fax
(509) 453-0061
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X MD00025745 WA Primary

Addresses

Primary practice location

111 S 11TH Ave Ste 320
Yakima, WA 98902-3273

Mailing address

PO Box 2309
Yakima, WA 98907-2309
Phone (509) 454-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000423 WA Practitioner - Orthopedic SurgeryPractitioner - Family Practice 8527093285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00025745WAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Northwest PLLC CurrentSince Jul 1, 2001 Accepting new patients

Locations

1211 N 16th Ave
Yakima, WA 98902
Phone (509) 248-7184

111 S 11th Ave
Ste 320
Yakima, WA 98902
Phone (509) 248-7184

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1730155524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2309",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072309",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH AVE STE 320",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023273",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "RAYMOND",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "MD00025745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.