Active NPI
Elizabeth A Snoderly, D.O.
- Pain Medicine (Anesthesiology) Physician
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 0498
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004989 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Ohio State University College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0498 | SC | MD | Pain Medicine (Anesthesiology) Physician |
| 00498 | SC | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physician Group LLC | Current | 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.
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- Pawley's Island, SC
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.