Timothy Matthew Snyder, MD | |
915 Sagamore Pkwy W, West Lafayette, IN 47906-1443 | |
(765) 463-2424 | |
(765) 463-2249 |
Full Name | Timothy Matthew Snyder |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 915 Sagamore Pkwy W, West Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508828880 | NPI | - | NPPES |
000000782957 | Other | ANTHEM | |
100101850 | Medicaid | IN | |
10786209 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01038504A (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
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Timothy Matthew Snyder, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Timothy Matthew Snyder, MD 915 Sagamore Pkwy W, West Lafayette, IN 47906-1443 Ph: (765) 463-2424 |
Dr. Elizabeth Anne Basquin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 518 Hillcrest Rd, West Lafayette, IN 47906 Phone: 765-463-9430 | |
Donald Fahler, Pediatrics Medicare: Medicare Enrolled Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-7606 | |
James O Reeder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2995 N Salisbury St, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8335 | |
Mrs. Mira N Slizovsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-5252 Fax: 765-463-2289 | |
Charlotte Joy Alexandra Steele-morris, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 715 Clinic Dr, Purdue University, Lyles-porter Hall, West Lafayette, IN 47907 Phone: 765-494-8588 | |
Gerald Wehr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227 |