MARY C. SNYDER, MD, PC (NPI# 1780893370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780893370 |
| Entity Type | Organization |
| Organization Name | MARY C. SNYDER, MD, PC |
| Other Organization Name | MONUMENT PLASTIC SURGERY |
| Practice Address |
5410 Sheridan Lake Rd Rapid City SD 57702-9208 |
| Practice Telephone | 6053484141 |
| Practice Fax Number | 6057217450 |
| Mailing Telephone | 6053484141 |
| Mailing Fax Number | 6057217450 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | MARY COLLEEN SNYDER (DIRECTOR) |
| Authorized Official Telephone | 6053484141 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 5984 | SD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Monument Plastic Surgery | Doing Business As Name - Organization |
| Street Address |
5410 SHERIDAN LAKE RD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316174 | Gordon Abernathie | Family Medicine | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2005-06-15 |
| 1699331223 | Emily Michelle Geppert | Physician Assistant | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2019-05-20 |
| 1366816589 | Heidi Ann Glood | Nurse Practitioner | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2015-11-26 |
| 1295962033 | Health Concepts Wellness Care LLC | Surgery | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2009-06-19 |
| 1487801445 | Kristen Corkle | Nurse Practitioner | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2008-08-21 |
| 1033236930 | Jeffrey Anderson | Emergency Medicine | 5410 Sheridan Lake Rd, Rapid City, SD 57702 | 2007-03-23 |
| 1346297009 | Nicole Sears | Family Medicine | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2006-05-28 |
| 1487626842 | Paulette Susan Nankivel | Nurse Practitioner | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2006-02-01 |
| 1093785735 | Richard Lee Beasley | Internal Medicine | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659441491 | Richard Frederick Carver | Plastic Surgery | 7236 Jordan Drive, Suite 100a, Rapid City, SD 57701-8734 | 2006-11-09 |
| 1992989487 | Hunter Reid Moyer | Plastic Surgery | 2805 5th St, Rapid City, SD 57701-7306 | 2007-12-20 |
| 1508999822 | Associates In Plastic & Reconstructive Surgery Inc | Plastic Surgery | 7236 Jordan Dr, Suite 100a, Rapid City, SD 57702-8734 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972611481 | Bradley Kevin Coots | Plastic Surgery | 1500 W 22nd St Ste 101, Sioux Falls, SD 57105-1503 | 2006-08-25 |
| 1568442895 | Richard James Howard | Plastic Surgery | 6301 S Minnesota Ave, Suite 300, Sioux Falls, SD 57108-2528 | 2006-01-20 |
| 1063805604 | Cosmetic and Plastic Surgery Specialists, PC | Plastic Surgery | 201 S Lloyd St, W230, Aberdeen, SD 57401-4552 | 2015-03-06 |
| 1962667154 | Hoang M. Lawrence Nguyen | Plastic Surgery | 1500 W 22nd St Ste 101, Sioux Falls, SD 57105-1503 | 2008-07-28 |
| 1457389199 | Plastic Surgery Associates of South Dakota, Ltd | Plastic Surgery | 4201 South Minnesota Avenue, Ste. 112, Sioux Falls, SD 57105-6706 | 2006-06-29 |
| 1124071048 | Rifat Hussain | Plastic Surgery | 1500 W 22nd St, Ste 104, Sioux Falls, SD 57105 | 2006-05-19 |
| 1841258225 | Barry Don Martin | Plastic Surgery | 6215 S Cliff Ave, Suite 110, Sioux Falls, SD 57108-8596 | 2006-05-03 |
| 1073516308 | Paula Jean Formosa | Plastic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-05-31 |
| City | RAPID CITY |
| Zip Code | 57702 |
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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.