Mary C. Snyder, MD, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

5984 Issued in SD

Legal business name

MARY C. SNYDER, MD, PC

Practice address

5410 Sheridan Lake Rd
Rapid City, SD 57702-9208

Phone

(605) 348-4141

Fax

(605) 721-7450

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mary Colleen Snyder, MD

Title

Director

Phone

(605) 348-4141

Specialties & licenses 1

Addresses

Other names 1

• Monument Plastic Surgery Doing business as

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1780893370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 SHERIDAN LAKE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029208",
            "telephone_number": "605-348-4141",
            "fax_number": "605-721-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 SHERIDAN LAKE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029208",
            "telephone_number": "605-348-4141",
            "fax_number": "605-721-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY C. SNYDER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-348-4141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "SD",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Martin, MS, ACT
• David A. Martin, CRNA
• Jennifer Lynn Martin, MSW
• Marvin Bouska, M.S., L.L.C.
• Jamie Marvin-Vargas
• Mary K. Roth D.D.S. PC
• Steven Alan Maser, M.D.
• Alison C Mass, P.T.
• Alana Marie Mastin, CNP
• Carl Wayne Mathews, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.