Active NPI
John Snow, M.D.
- Dermatopathology Physician
- Fort Myers, FL
National Provider Identifier
1801007265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- ME98236
- Practice address
- 12580 University Dr
Suite 200
Fort Myers, FL 33907-5686 - Phone
- (239) 274-0005
- Fax
- (239) 278-4718
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME98236 | FL | |
| Dermatopathology Physician | 207ND0900X | ME98236 | FL | Primary |
Addresses
Primary practice location
12580 University Dr
Suite 200
Fort Myers, FL 33907-5686
Mailing address
12580 University Dr
Suite 200
Fort Myers, FL 33907-5686
Phone (239) 274-0005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AE295Z | Other | FL | 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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1801007265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12580 UNIVERSITY DR",
"address_2": "SUITE 200",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075686",
"telephone_number": "239-274-0005",
"fax_number": "239-278-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12580 UNIVERSITY DR",
"address_2": "SUITE 200",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075686",
"telephone_number": "239-274-0005",
"fax_number": "239-278-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME98236",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME98236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "AE295Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.