Michel A Snyder, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

0037050 Issued in FL

Practice address

608 S 9TH St
Ste C
Leesburg, FL 34748-6342

Phone

(352) 787-4532

Fax

(352) 787-0498

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1831188630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S 9TH ST",
            "address_2": "STE C",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486342",
            "telephone_number": "352-787-4532",
            "fax_number": "352-787-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S 9TH ST",
            "address_2": "STE C",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486342",
            "telephone_number": "352-787-4532",
            "fax_number": "352-787-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MICHEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "0037050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Smith, M.S. CCC-SLP
• Michael Boynton Smith, PT
• Shirley Smith, LMHC
• SNG Labs-SNG Prosthetic Eye Institute, Inc.
• Jason Snyder, D.M.D.
• Susan Evata Snyder, COTA
• Christopher T Soprenuk, MD
• Amarilis Sotolongo, MSN-FNP
• South Campus Facility Inc
• South Campus Nursing and Rehab LLC

• MOHS-Micrographic Surgery Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.