John Wilton Snyder Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101032202 Issued in VA

Practice address

9524 Hospital Avenue
Nassawadox, VA 23413

Phone

(757) 442-6600

Fax

(757) 442-3839

NPI assigned

Jun 21, 2005

Last updated

Apr 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Riverside Physician Services Inc

  dba Riverside Emergency Physicians

  • Emergency Medicine Physician
  • Williamsburg, VA
  • NPI 1639418429
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1750387288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 HOSPITAL AVENUE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413",
            "telephone_number": "757-442-6600",
            "fax_number": "757-442-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JOHN",
        "middle_name": "WILTON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101032202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Health Services, Inc (Riverside Shore Diabetes Center)
• Shore Health Services, Inc (Riverside Shore Anesthesia)
• Shore Health SVC Inc (Shore Memorial Hospital)
• Shore Hearing LLC
• Shore Rehabilitation Services Inc
• Drury M Stith, M.D.
• Vincent Joseph Stravino, MD
• Rosionka Tankard, LCSW
• Urology of Virginia PC
• Kyle M Webb

• Family Medicine Physician in Nassawadox, VA
• Providers in Nassawadox, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.