Jason Owen Snyder, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12234294-1206 Issued in UT

Practice address

11333 S 1000 E Ste 102
Sandy, UT 84094-5421

Phone

(801) 462-2205

Fax

(801) 748-1030

NPI assigned

Jun 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alta Pain Physicians PLLCGroup PAC ID 2163602426, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: jason.snyder@1006.securemail.prognocis.com

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.

• Alta Pain Physicians, PLLC

  • Interventional Pain Medicine Physician
  • Sandy, UT
  • NPI 1063721850
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1790352185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 S 1000 E STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945421",
            "telephone_number": "801-462-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 S 1000 E STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945421",
            "telephone_number": "801-462-2205",
            "fax_number": "801-748-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Bullriver Rd",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434844",
            "country_code": "US",
            "telephone_number": "407-285-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JASON",
        "middle_name": "OWEN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12234294-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiths Food & Drug Centers Inc
• Snell Psychological Services LLC
• Marilyn Snell, PH.D.
• Christopher Thomas Snow, O.D.
• Jason Snyder, LCSW
• Jennifer Solosko, LMFT
• Somnilogix, LLC
• Brent C Sonnenberg, D.D.S., M.S.
• Don Howard Sorensen Jr., APRN
• Lee Ann B Sorensen, R.N.

• Physician Assistant in Sandy, UT
• Providers in Sandy, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.