Individual provider Active NPI

Elizabeth A Snoderly, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Florence, SC
National Provider Identifier
1982652749
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0498 Issued in SC
Practice address
1204 E Cheves St
Florence, SC 29506-2710
Phone
(843) 673-0122
Fax
(843) 673-0127
NPI assigned
May 4, 2006
Last updated
Jun 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0498 SC Primary
Interventional Pain Medicine Physician 208VP0014X 00498 SC

Addresses

Primary practice location

1204 E Cheves St
Florence, SC 29506-2710

Mailing address

PO Box 1018
Pawleys Island, SC 29585-1018
Phone (843) 651-2624

Other identifiers 1

IdentifierTypeStateIssuer
004989MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000321 SC Practitioner - Pain ManagementPractitioner - Anesthesiology 3971579301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physician Group LLCGroup PAC ID 7113267956, 3 clinicians

Practice addresses (Care Compare)

8203 Nigels Dr
Myrtle Beach, SC 29572-4177
Phone (843) 251-0818

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0498SCMDPain Medicine (Anesthesiology) Physician
00498SCMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Physician Group LLC CurrentSince Sep 3, 2019 Accepting new patients
Elizabeth a Snoderly DO PC Pain Medicine Past Accepting new patients
Crowfield Pain Center Pain Medicine Past Accepting new patients
Waccamaw Pain Group, LLC Past Accepting new patients
Conservative Care Specialists Medical Group Inc Pain Medicine Past Accepting new patients
Patricia R. Grant, MD PA Pain Medicine Past Accepting new patients

Locations

13 Corporate Blvd NE
Ste 100
Brookhaven, GA 30329
Phone (229) 442-7210

3970 Five Forks Trickum Rd SW
#A
Lilburn, GA 30047
Phone (678) 880-4836

7201 Brookfield Rd
Columbia, SC 29223
Phone (678) 505-9657

8203 Nigels Dr
Myrtle Beach, SC 29572
Phone (843) 251-0818

8203 Nigels Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-5848

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1982652749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295851018",
            "telephone_number": "843-651-2624",
            "fax_number": "843-357-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062710",
            "telephone_number": "843-673-0122",
            "fax_number": "843-673-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODERLY",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "0498",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "00498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004989",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.