Individual provider Active NPI

Thomas David Snyder, PA-C

  • Surgical Physician Assistant
  • Bradenton, FL
National Provider Identifier
1780648949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2992 Issued in FL
Practice address
3322 49TH Ave E
Bradenton, FL 34203-3944
Phone
(941) 753-5350
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2992 FL Primary

Addresses

Primary practice location

3322 49TH Ave E
Bradenton, FL 34203-3944

Mailing address

3322 49TH Ave E
Bradenton, FL 34203-3944

Other identifiers 1

IdentifierTypeStateIssuer
P00279258OtherRAILROAD MEDICARE

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2992FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Ward MD PA Past Accepting new patients
Peter G Wernicki M D P a Past Accepting new patients
Vero Vascular Surgery PA PastSince Jun 17, 1999 Accepting new patients
Physician Assistant Services of Florida LLC Surgical Past Accepting new patients
Osler Medical Inc Past Accepting new patients
Omar David Hussamy MD PA PastSince Jul 1, 1999 Accepting new patients

Organizations & group practices 6

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780648949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 49TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 49TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033944",
            "telephone_number": "941-753-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "THOMAS",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00279258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.