DAVID ALAN SNYDERMAN (NPI# 1750342739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750342739 |
Entity Type | Individual |
Full Name | DAVID ALAN SNYDERMAN |
Credential | PAC |
Practice Address |
223 16th Ave N Nampa ID 83653 |
Mailing Address |
Po Box 9 211 16th Ave N Nampa ID 83653-0009 |
Practice Telephone | 2084667869 |
Practice Fax Number | 2084665359 |
Mailing Telephone | 2084674431 |
Mailing Fax Number | 2084674684 |
Enumeration Date | 2006-03-30 |
Last Update Date | 2007-07-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA286 | ID | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CIGNA MEDICARE | 1665287 | 01 | |
CIGNA MEDICARE | 1665288 | 01 | |
CIGNA MEDICARE | 1665280 | 01 | |
CIGNA MEDICARE | 1665289 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316961121 | David Mark Snyderman | Dentist | 21 Montauk Ave, Suite 102, New London, CT 06320-4906 | 2006-07-26 |
Street Address |
223 16TH AVE N |
City | NAMPA |
State | ID |
Zip Code | 83653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003819509 | Julia Marie Jensen | Family Medicine | 223 16th Ave N, Nampa, ID 83687-4058 | 2005-05-27 |
1871136077 | Megan E Forster | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2019-10-21 |
1407408644 | Alicia Garber | Counselor | 223 16th Ave N, Nampa, ID 83687-4058 | 2019-07-09 |
1376028050 | Nichole Warner | Counselor | 223 16th Ave N, Nampa, ID 83687-4058 | 2018-09-28 |
1821540246 | Marisela Nunez | Counselor | 223 16th Ave N, Nampa, ID 83687 | 2016-11-02 |
1316499072 | Jesse Tangen | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2016-10-28 |
1932566874 | Jacqueline Baggs | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2016-01-22 |
1447625850 | Eliane Alabe Deblauw | Marriage & Family Therapist | 223 16th Ave N, Nampa, ID 83653-0009 | 2015-12-10 |
1255736781 | Jacob Murgoitio | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-10-27 |
1063825826 | Ashley Hammargren Freeman | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-06-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164549333 | Sarah D Witte | Nurse Practitioner | 223 16th Ave North, Nampa, ID 83653 | 2007-03-23 |
1750319422 | Lisa Lawrence | Nurse Practitioner | 207 16th Ave North, Nampa, ID 83653 | 2006-06-29 |
1235199563 | Elise Noel Hughes | Family Medicine | 223 16th Avenue North, Nampa, ID 83653 | 2006-03-23 |
1497703169 | Jonathan Leslie Bowman | Family Medicine | 223 16th Avenue North, Nampa, ID 83653 | 2006-05-05 |
1912966730 | Britney Journee | Counselor | 207 16th Avenue North, Nampa, ID 83653-0009 | 2006-03-21 |
1477515997 | Elizabeth A Engebrecht | Social Worker | 207 16th Avenue North, Nampa, ID 83653-0009 | 2006-04-03 |
1487615464 | Eva Lisseth Davis | Social Worker | 207 16th Avenue North, Nampa, ID 83653-0009 | 2006-03-30 |
1477537280 | Kerri Dianne Trainer | Anesthesiology | 1512 12th Ave Rd, Nampa, ID 83653-1517 | 2005-12-05 |
1740278084 | Kuhia Loren Fisher | Anesthesiology | 1512 12th Ave Rd, Nampa, ID 83653-1517 | 2005-10-11 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
1609204890 | Rachel Sawyer | Physician Assistant | 7405 Wild Horse Way, Nampa, ID 83686-5496 | 2013-10-24 |
1437403441 | Rachel Elizabeth Nutting | Physician Assistant | 16459 N Midland Blvd, Nampa, ID 83687-5222 | 2012-10-30 |
1578524559 | Janine Marie Franco | Physician Assistant | 1611 12th Ave Rd Ste B, Nampa, ID 83686-6182 | 2006-03-30 |
1265950612 | Emily Ann Looze | Physician Assistant | 207 1st St S, Nampa, ID 83651-3703 | 2017-09-06 |
1396293288 | Amanda Crisler | Physician Assistant | 824 S Diamond St, Nampa, ID 83686-5960 | 2016-09-20 |
1255736781 | Jacob Murgoitio | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-10-27 |
1407257025 | Lauryn Pyke | Physician Assistant | 353 W Iowa Ave, Nampa, ID 83686-2856 | 2014-09-15 |
1679918536 | Joel J Burch | Physician Assistant | 1375 N Happy Valley Rd, Nampa, ID 83687-5280 | 2013-05-06 |
1780928580 | William Joseph Short | Physician Assistant | 1031 W Sanetta St, Nampa, ID 83651 | 2012-11-16 |
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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.