Provider Demographics
NPI:1922038041
Name:SNAVELY, SHARON (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:SNAVELY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 WEST 119TH ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3749
Mailing Address - Country:US
Mailing Address - Phone:913-345-8500
Mailing Address - Fax:913-647-3935
Practice Address - Street 1:5701 WEST 119TH ST
Practice Address - Street 2:SUITE 240
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3749
Practice Address - Country:US
Practice Address - Phone:913-345-8500
Practice Address - Fax:913-647-3935
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS418255207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10489042OtherBLUE CROSS BLUE SHIELD
KS130393OtherUNITED HEALTHCARE
KS100156490BMedicaid
MO202256608Medicaid
100003159OtherRAILROAD MEDICARE
KS854764OtherAETNA
2836471AMedicare ID - Type Unspecified
MO202256608Medicaid