NPIMap

Individual provider Active NPI

Georgianne M Snowden, MD

  • Vascular & Interventional Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1881697761
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
16539 Issued in OK
Practice address
3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455
Phone
(405) 945-4741
Fax
(888) 972-5320
NPI assigned
May 24, 2005
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16539 OK
Vascular & Interventional Radiology Physician 2085R0204X 16539 OK Primary

Addresses

Primary practice location

3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455

Mailing address

3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455
Phone (405) 945-4741

Other identifiers 3

IdentifierTypeStateIssuer
100041410AMedicaidOK
P00171214OtherOKRAILROAD MEDICARE /AI
P00144996OtherOKRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001443 OK Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0244126100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates LLCGroup PAC ID 4082692496, 20 clinicians

Practice addresses (Care Compare)

1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3011

3524 NW 56TH St
Oklahoma City, OK 73112-4518
Phone (405) 606-6937

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 657-3000

5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000

5911 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.61 of 100Reported as group
Quality
55.21
Improvement activities
40
Cost
67.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Sep 1, 2004 Accepting new patients
Integris Prohealth Inc CurrentSince Oct 4, 2017 Accepting new patients

Locations

3330 NW 56th St
Ste 206
Oklahoma City, OK 73112
Phone (405) 945-4710

3433 NW 56th St
Ste C10
Oklahoma City, OK 73112
Phone (405) 945-4740

3433 NW 56th St
Ste C40
Oklahoma City, OK 73112

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

Dept 960591
Oklahoma City, OK 73196

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Integris Health Grove HospitalGrove, OK, CCN 370113 Hospital Corporate Director Jul 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1881697761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST, SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST, SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "GEORGIANNE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "16539",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OK",
            "license": "16539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100041410A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE /AI",
            "identifier": "P00171214",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00144996",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.