Mary Snyder

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

5984 Issued in SD

Practice address

3615 5TH St
Suite 101
Rapid City, SD 57701-6014

Phone

(605) 343-7208

Fax

(605) 343-7132

NPI assigned

May 15, 2006

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 18, 2023 through Jul 18, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71180

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.

• Rapid City Plastic Surgery PLLC

  dba Black Hills Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Rapid City, SD
  • NPI 1558085241
  Authorized official Same address or phone
• Black Hills Orthopedic & Spine Center, Inc.

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1477523678
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1780635706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 5TH ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017360",
            "telephone_number": "605-343-7208",
            "fax_number": "605-343-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 5TH ST",
            "address_2": "SUITE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016014",
            "telephone_number": "605-343-7208",
            "fax_number": "605-343-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "21329",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NE",
            "license": "21329",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SD",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026079700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078557586",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Smith
• Steffan Smith
• Erin Snow
• Brittany Snyder
• Donald S Snyder, LMT
• Soar, Inc.
• Emma Elizabeth Sobczak, PT, DPT
• Jennifer Anne Sobolik, CNP, FNP-C
• Kevin S Sobolik, PT
• Soderstrom Implant Dentistry, PC

• Plastic and Reconstructive Surgery Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Plastic and Reconstructive Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.