DR. JACK ROBIN SNEDDEN M.D. NPI 1215908041

NPI Information

  • NPI: 1215908041
  • Provider Name: DR. JACK ROBIN SNEDDEN, M.D.
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10502 NORTH 110TH EAST AVENUE
    OWASSO, OK
    ZIP 74055
  • Phone: (918) 376-8590

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NPI Details

DR. Jack Robin Snedden, M.D. is a hospitalist in Owasso, OK. The provider is 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. DR. Jack Robin Snedden, M.D. NPI is 1215908041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10502 NORTH 110TH EAST AVENUE
OWASSO, OK
ZIP 74055-655
Phone: (918) 376-8590
Fax: (918) 376-8549

The NPI 1215908041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 5/6/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine21312OKLAHOMANo
2208M00000XHospitalist21312OKLAHOMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H20143MEDICARE UPIN
2OK401292MEDICARE PINOKLAHOMA
3100120000AMEDICAIDOKLAHOMA

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: 11/21/2025

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