Active NPI
Darlene Snider, DO
- Sports Medicine (Emergency Medicine) Physician
- Marietta, OH
National Provider Identifier
1881648400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 34.003945
- Practice address
- 160 Gross St
Marietta, OH 45750-2031 - Phone
- (740) 568-5612
- Fax
- (740) 568-5668
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 34.003945 | OH | Primary |
Addresses
Primary practice location
160 Gross St
Marietta, OH 45750-2031
Mailing address
PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000539804 | Other | OH | ANTHEM |
| 000000696935 | Other | OH | ANTHEM |
| P00703835 | Other | OH | RRMCR |
| 0609738 | Medicaid | OH | |
| 3810005488 | Medicaid | WV |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.003945 | OH | MD | Sports Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1881648400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457500449",
"telephone_number": "740-374-4500",
"fax_number": "740-374-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 GROSS ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457502031",
"telephone_number": "740-568-5612",
"fax_number": "740-568-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "DARLENE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "OH",
"license": "34.003945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000539804",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000696935",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "P00703835",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0609738",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005488",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.