Active NPI
Susan T Snider, M.D.
- Family Medicine Physician
- Spruce Pine, NC
National Provider Identifier
1801870753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23763
- Practice address
- 36 Hospital Dr
Spruce Pine, NC 28777-8943 - Phone
- (828) 765-6595
- Fax
- (828) 765-6599
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23763 | NC | Primary |
Addresses
Primary practice location
36 Hospital Dr
Spruce Pine, NC 28777-8943
Mailing address
36 Hospital Dr
Spruce Pine, NC 28777-8943
Phone (828) 765-6595
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202427D | Other | NC | MEDICARE PIN |
| 5950189 | Medicaid | NC | |
| 8978352 | Medicaid | NC | |
| 78352 | Other | NC | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23763 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1801870753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HOSPITAL DR",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287778943",
"telephone_number": "828-765-6595",
"fax_number": "828-765-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 HOSPITAL DR",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287778943",
"telephone_number": "828-765-6595",
"fax_number": "828-765-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "SUSAN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "23763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "202427D",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950189",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8978352",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "78352",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spruce Pine, NC
- Amber Shaikh, DDS
- Doyle Lyn Shelton, PA
- Jimitkumar Sheth
- Douglas A. Shields, M.D.
- Rebekah Smith, NP-C
- Elizabeth Thomas Sparks, NP
- Spruce Pine Chiropractic, PLLC
- Spruce Pine Emergency Services PLLC
- Spruce Pine Pharmacy Inc
- SSC Spruce Pine Operating Company LLC (Brian Center Health & Rehabilitation - Spruce Pine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.