DR. JACK ROBIN SNEDDEN III


Address: 10502 North 110th East Avenue, Owasso, OK 74055-6655
Phone: 9183768590

DR. JACK ROBIN SNEDDEN III (NPI# 1215908041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215908041
Entity Type Individual
Full Name DR. JACK ROBIN SNEDDEN III
Credential M.D.
Practice Address 10502 North 110th East Avenue
Owasso
OK 74055-6655
Mailing Address 10502 N 110th East Ave
Owasso
OK 74055-6655
Practice Telephone 9183768590
Practice Fax Number 9183768549
Mailing Telephone 9183768590
Mailing Fax Number 9183768549
Enumeration Date 2006-01-30
Last Update Date 2014-05-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 21312 OK Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist 21312 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100120000A 05

Office Location

Street Address 10502 NORTH 110TH EAST AVENUE
City OWASSO
State OK
Zip Code 74055-6655

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972151587 Lakecrest Dental-owasso 96th Dentist 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 2019-08-27
1205328697 Eddie Duane Gaut Case Manager/Care Coordinator 110 W 3rd St., Apt 11, Owasso, OK 74055 2018-06-01
1821586694 Kaitlyn Konarik Speech-Language Pathologist 12899 E 76th St N, Ste. 109, Owasso, OH 74055 2018-04-27
1043733769 Kelsey Renae Nicklas Case Manager/Care Coordinator 9310 N 163rd East Ave, Owasso, OK 74055 2017-07-25
1700259256 Genscripts Owasso, LLC Pharmacy 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 2015-11-05
1770968810 Premier Anesthesia Management Inc Clinic/Center 19236 E Twin Creeks Dr, Owasso, OK 74055 2015-07-29
1598152407 Justin Lum Physical Therapist 12326 E 86th St N, Owasso, OK 74055 2015-04-17
1033507660 Kimberly Louise Howard Physical Therapy Assistant 12899 East 76th St North, Owasso, OK 74055 2015-01-06
1780920629 Timothy Ryan Thornton Behavioral Analyst 11330 N 94 E Ave, Owasso, OK 74055 2012-12-21
1679842785 Kelli Marie Ellis Counselor 19760 E Fox Run Cir, Owasso, OK 74055 2011-12-19
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598309346 Latha Nachimuthu Md Pllc Hospitalist 1145 W I 240 Service Rd Ste F, Oklahoma City, OK 73139-2171 2019-11-05
1780194225 Western Hospitalist Pllc Hospitalist 2808 Lamond Hill Ave, Edmond, OK 73034-6978 2017-10-11
1023548948 Divine Prosperity LLC Hospitalist 1104 E State Highway 152 Unit 1, Mustang, OK 73064-5116 2017-06-13
1225575525 Absolute Best Care Pllc Hospitalist 2133 E 2nd St Apt 37071920, Edmond, OK 73034-6362 2017-01-24
1497123046 Gracehealth, Pllc Hospitalist 18213 Bodegon Rd, Edmond, OK 73012-5905 2015-09-11
1588042287 Nitin Sawheny, M.d., P.l.l.c Hospitalist 2074 Bella Sera Dr, Edmond, OK 73034-2525 2015-05-13
1225438849 Muhammad Omar Hospitalist 800 Stanton L Young Blvd Ste 8400, Oklahoma City, OK 73104-5018 2014-09-02
1063838639 Charles Lloyd Wilson Hospitalist Mercy South, 5200 E I-240 Service Road, Oklahoma City, OK 73135 2014-03-06
1326477167 Nyame LLC Hospitalist 2625 W Sierra Springs Dr, Edmond, OK 73012-9072 2013-11-02
1306278593 Rebecca Faulkner Md Pllc Hospitalist 15804 Sonador Dr, Edmond, OK 73013-5819 2013-07-30
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Competitor

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City OWASSO
Zip Code 74055

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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