Thomas John Snyder, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1772 Issued in IA

Practice address

4626 Progress Dr
Suite a
Davenport, IA 52807-3485

Phone

(563) 386-0850

Fax

(563) 386-0847

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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

• Heritage Emergency Physicians

  • Emergency Medicine Physician
  • Clinton, IA
  • NPI 1265620819
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1912985532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 PROGRESS DR",
            "address_2": "SUITE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073485",
            "telephone_number": "563-386-0850",
            "fax_number": "563-386-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 PROGRESS DR",
            "address_2": "SUITE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073485",
            "telephone_number": "563-386-0850",
            "fax_number": "563-386-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "1772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912985532",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202622",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reilly Smith
• Stanley S Smith, PH.D.
• Dustin Michael Smolenski, D.D.S
• Angela M Snyder, LISW
• Heather Snyder
• Rebecca Anne Solomon, NP-C
• Betsy Sommer, LISW
• Jenna M Sondag, RN
• Soothe Your Soul Therapy, PLLC
• Stephen M Sorensen, MD

• Internal Medicine Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.