Russell T Snow, D.O., P.a.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

O-110 Issued in ID

Legal business name

RUSSELL T SNOW, D.O., P.A.

Practice address

119 W Logan St Ste a
Caldwell, ID 83605-4732

Phone

(208) 454-2050

Fax

(208) 454-3554

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Russell T Snow, D.O.

Title

President

Phone

(208) 454-2050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871016048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W LOGAN ST STE A",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054732",
            "telephone_number": "208-454-2050",
            "fax_number": "208-454-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W LOGAN ST STE A",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054732",
            "telephone_number": "208-454-2050",
            "fax_number": "208-454-3554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 E Locust St",
            "address_purpose": "LOCATION",
            "city": "Emmett",
            "state": "ID",
            "postal_code": "836172715",
            "country_code": "US",
            "telephone_number": "208-454-2050",
            "fax_number": "208-454-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUSSELL T SNOW, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-454-2050",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "ID",
            "license": "O-110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Rogers, BA
• David Routt, LCPC, NCC
• Robert Roy
• Lisa M Ruhl, LPC
• Rulin J. Hawks, PT, PLLC
• Kacee Russell, LCPC
• Michael Angelo Ruvalcaba I, DPT ATC
• RWW International Inc
• Andrew Ryan, PA-C
• Sadie Nebeker, LCSW, PLLC

• Facial Plastic Surgery Physician in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Facial Plastic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.