NPIMap

Individual provider Active NPI

Lee Thomas Snook Jr., M.D.

  • Interventional Pain Medicine Physician
  • Sacramento, CA
National Provider Identifier
1891798831
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G52661 Issued in CA
Practice address
2288 Auburn Blvd
Ste 106
Sacramento, CA 95821-1619
Phone
(916) 568-8338
Fax
(916) 925-3985
NPI assigned
May 23, 2005
Last updated
Mar 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X G52661 CA Primary

Addresses

Primary practice location

2288 Auburn Blvd
Ste 106
Sacramento, CA 95821-1619

Mailing address

2288 Auburn Blvd
Ste 106
Sacramento, CA 95821-1619
Phone (916) 568-8338

Other identifiers 1

IdentifierTypeStateIssuer
00G526610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090102000383 CA Practitioner - Interventional Pain Management 0042273641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Nevada School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Pain Management Consultants, IncGroup PAC ID 1153384755, 2 clinicians

Practice addresses (Care Compare)

2288 Auburn Blvd
Suite 106
Sacramento, CA 95821-1619
Phone (916) 568-8338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52661CAMDDentist
G52661CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pain Management Consultants, Inc Interventional Pain Medicine CurrentSince Jul 1, 1992 Accepting new patients
Dignity Health Interventional Pain Medicine Past Accepting new patients
Dignity Health Interventional Pain Medicine Past Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Interventional Pain Medicine Past Accepting new patients
Dignity Health Interventional Pain Medicine Past Accepting new patients

Locations

2288 Auburn Blvd
Ste 106
Sacramento, CA 95821
Phone (916) 568-8338

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1891798831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD",
            "address_2": "STE 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211619",
            "telephone_number": "916-568-8338",
            "fax_number": "916-925-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD",
            "address_2": "STE 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211619",
            "telephone_number": "916-568-8338",
            "fax_number": "916-925-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "LEE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G52661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G526610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.