Organization Active NPI

Robert W Snyder MD PHD PC

  • Ophthalmology Physician
  • Anchorage, AK
National Provider Identifier
1912171083
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5857 Issued in AK
Legal business name
ROBERT W SNYDER MD PHD PC
Practice address
534 W 2ND Ave
Anchorage, AK 99501-2208
Phone
(520) 327-2020
Fax
(520) 881-4396
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Robert Wickert Snyder, MD, PHD
Title
Owner
Phone
(520) 327-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 5857 AK Primary

Addresses

Primary practice location

534 W 2ND Ave
Anchorage, AK 99501-2208

Mailing address

4711 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 327-2020

Other identifiers 2

IdentifierTypeStateIssuer
MD3809MedicaidAK
1275597981OtherAZINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

4711 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 327-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1912171083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-327-2020",
            "fax_number": "520-881-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 W 2ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012208",
            "telephone_number": "520-327-2020",
            "fax_number": "520-881-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W SNYDER MD PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WICKERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-327-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "5857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3809",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275597981",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.