DR. MARK ANDREW SNIDER D.O. NPI 1710188941

NPI Information

NPI: 1710188941
Provider Name: DR. MARK ANDREW SNIDER, D.O.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
3020 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-8036
Get Directions

DR. Mark Andrew Snider, D.O. is a pediatric emergency medicine pediatrics in San Diego, CA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Mark Andrew Snider, D.O. NPI is 1710188941. 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:

3020 CHILDRENS WAY
SAN DIEGO, CA
ZIP 92123-223
Phone: (858) 966-8036

The NPI 1710188941 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 5/28/2007 and was last updated on 6/8/2016.

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
1	208000000X	Pediatrics		20A14653	CALIFORNIA	No
2	208000000X	Pediatrics		2039	TENNESSEE	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	20A14653	CALIFORNIA	Yes

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
1	1517882	MEDICAID	TENNESSEE

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: 4/28/2024

NPI Synchronization or Removal

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