Active NPI
Nicholas R. Snavely, MD, PLLC
Doing business as River Place Mohs & Dermatologic Surgery Center
- Dermatology Physician
- Austin, TX
National Provider Identifier
1760878045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- NICHOLAS R. SNAVELY, MD, PLLC
- Doing business as
- River Place Mohs & Dermatologic Surgery Center
- Practice address
- 10815 RR 2222
BLDG 3a, Ste 200
Austin, TX 78730-1159 - Phone
- (512) 767-7546
- Fax
- (512) 767-7545
- NPI assigned
- Apr 13, 2015
- 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
- Nicholas R Snavely, MD
- Title
- Owner
- Phone
- (512) 767-7546
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X |
Addresses
Primary practice location
10815 RR 2222
BLDG 3a, Ste 200
Austin, TX 78730-1159
Mailing address
10815 RR 2222
BLDG 3a, Ste 200
Austin, TX 78730-1159
Phone (512) 767-7546
Other names 1
- River Place Mohs & Dermatologic Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428883200000",
"number": "1760878045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10815 RR 2222",
"address_2": "BLDG 3A, STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301159",
"telephone_number": "512-767-7546",
"fax_number": "512-767-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10815 RR 2222",
"address_2": "BLDG 3A, STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301159",
"telephone_number": "512-767-7546",
"fax_number": "512-767-7545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS R. SNAVELY, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A",
"authorized_official_last_name": "SNAVELY",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-767-7546",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Place Mohs & Dermatologic Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.