Sean Edward Snook, NAVY IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

3985 Cummings Rd Ste 4
BLDG 116
San Diego, CA 92136-5289

Phone

(619) 556-1465

Fax

(619) 556-1458

NPI assigned

Nov 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Comphibgru Three

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1245210467
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1790967255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 CUMMINGS RD STE 4",
            "address_2": "BLDG 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365289",
            "telephone_number": "619-556-1465",
            "fax_number": "619-556-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 CUMMINGS RD STE 4",
            "address_2": "BLDG 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365289",
            "telephone_number": "619-556-1465",
            "fax_number": "619-556-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "SEAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "NAVY IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Nicole Sniffen, MSN, APRN, FNP-BC
• Lauren Snipper, M.S.
• Christopher Lewis Snitchler, D.O.
• Julie Lynn Snodgrass, CRNA
• Sara S Snook
• Snow & Shapley Dental Office Inc
• Brooke Nicol Snow
• Danelia Snow
• Erica Esthela Snow, MD
• Megan Snow, MOT, OTR/L

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.