Richard Wallace Snodgrass, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME10144 Issued in FL

Practice address

1151 N Halifax Ave
Daytona Beach, FL 32118-3654

Phone

(386) 253-6411

NPI assigned

Oct 24, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1881947166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N HALIFAX AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183654",
            "telephone_number": "386-253-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N HALIFAX AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183654",
            "telephone_number": "386-253-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "RICHARD",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME10144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Staples Smith, LMHC
• Tamekia Smith, ARNP-C
• Tanya Evette Smith, M.S., LMHC
• Tracy L Smith, RD
• Jean Smoczynski
• Samantha Snowden, MSN, APRN, FNP-C
• Aaron Reuben Snyder
• Shaun Snyder, PT
• Chase Wayne Sofiak, D.O.
• Nancy T Sofiak, M.A.

• Internal Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.