Active NPI
John O'Hara Snow, PA
- Medical Physician Assistant
- Leesburg, VA
National Provider Identifier
1770828774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110002965
- Practice address
- 18706 Woodburn Rd
Leesburg, VA 20175-9030 - Phone
- (703) 779-8557
- NPI assigned
- Dec 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110002965 | VA | Primary |
Addresses
Primary practice location
18706 Woodburn Rd
Leesburg, VA 20175-9030
Mailing address
18706 Woodburn Rd
Leesburg, VA 20175-9030
Phone (703) 779-8557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110002965 | VA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354320000000",
"number": "1770828774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18706 WOODBURN RD",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201759030",
"telephone_number": "703-779-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18706 WOODBURN RD",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201759030",
"telephone_number": "703-779-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "JOHN",
"middle_name": "O'HARA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-01",
"last_updated": "2012-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110002965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.