Active NPI
Jonathan Lee Snyderman, D.O.
- Emergency Medicine Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19215
- Practice address
- 5225 23Rd Ave S
Fargo, ND 58104-7927 - Phone
- (701) 417-2575
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS10864 | FL | |
| Emergency Medicine Physician | 207P00000X | 5315022836 | MI | |
| Emergency Medicine Physician | 207P00000X | 19215 | ND | Primary |
Addresses
Primary practice location
5225 23Rd Ave S
Fargo, ND 58104-7927
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419
Other practice location 1
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002737100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 503-3000
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- Northeast Georgia Medical Center Lumpkin
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315022836 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Elite Ppec Inc | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Sheridan Emergency Physician Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Elite Ppec Inc | Current | Accepting new patients | |
| Green Valley Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Solutions of South Florida, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
5000 Ky Route 321
Ste 4102
Prestonsburg, KY 41653
Phone (606) 886-7595
240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500
Interoperability endpoints
- jsnyderman65365@direct.med.miami.edu
- jonathansnyderman@arh.medalliesdirect.net
- wghjsnyde@yourcarecommunity.org
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Gainesville, GA
- NPI 1508886912
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
-
- Medically Fragile Infants and Children Day Care
- Hollywood, FL
- NPI 1396624268
-
- Medically Fragile Infants and Children Day Care
- Hollywood, FL
- NPI 1265024087
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Emergency Medicine Physician
- Paducah, KY
- NPI 1720755739
-
- Emergency Medicine Physician
- Bushnell, FL
- NPI 1326619727
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1528206992
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
- General Acute Care Hospital
- Dahlonega, GA
- NPI 1083174973
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1871796128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 23RD AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581047927",
"telephone_number": "701-417-2575"
}
],
"practiceLocations": [
{
"address_1": "28050 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483365919",
"country_code": "US",
"telephone_number": "248-471-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDERMAN",
"first_name": "JONATHAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS10864",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5315022836",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ND",
"license": "19215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002737100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.