Provider Demographics
NPI:1508028010
Name:JAMES E SNYDER, M.D.,P.A.
Entity type:Organization
Organization Name:JAMES E SNYDER, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRENDERGAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-425-6530
Mailing Address - Street 1:6 BUTTRICK RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3417
Mailing Address - Country:US
Mailing Address - Phone:603-425-6530
Mailing Address - Fax:603-434-9229
Practice Address - Street 1:6 BUTTRICK RD
Practice Address - Street 2:SUITE 301
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3417
Practice Address - Country:US
Practice Address - Phone:603-425-6530
Practice Address - Fax:603-434-9229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA363231H00000X
NH8724207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30005224Medicaid
NH30011664Medicaid
NH40007520Medicaid
NH30011664Medicaid
NHRE226901Medicare PIN
NHRE2269Medicare PIN
NH000710601Medicare PIN