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MARY SNYDER NPI 1780635706


NPI Information

NPI: 1780635706
Provider Name: MARY SNYDER
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: RAPID CITY MEDICAL CENTER LLP

PECOS Registration: Yes

Address:
3615 5TH ST
SUITE 101
RAPID CITY, SD
ZIP 57701
Phone: (605) 343-7208
Get Directions

Mary Snyder is a plastic and reconstructive surgery surgery in Rapid City, SD with 26 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Mary Snyder NPI is 1780635706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1998

The provider's business location address is:

3615 5TH ST
SUITE 101
RAPID CITY, SD
ZIP 57701-014
Phone: (605) 343-7208
Fax: (605) 343-7132

The NPI 1780635706 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 6/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology21329NEBRASKANo
22086S0122XSurgeryPlastic and Reconstructive Surgery21329NEBRASKANo
32086S0122XSurgeryPlastic and Reconstructive Surgery5984SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110026079700MEDICAIDNEBRASKA
2279130MEDICARE ID-TYPE UNSPECIFIEDNEBRASKA
347078557586MEDICAIDNEBRASKA
4I34612MEDICARE UPINNEBRASKA
5S105986MEDICARE UPINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.