ROBERT TODD SNOWDEN (NPI# 1376545152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376545152 |
| Entity Type | Individual |
| Full Name | ROBERT TODD SNOWDEN |
| Credential | MD |
| Practice Address |
14546 Old Saint Augustine Rd Ste 401 Credentialing Department Jacksonville FL 32258-5473 |
| Mailing Address |
Po Box 41113 Jacksonville FL 32203-1113 |
| Practice Telephone | 9042685366 |
| Practice Fax Number | 9042685457 |
| Mailing Telephone | 9042025111 |
| Mailing Fax Number | 9042685457 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME81538 | FL | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
ME81538 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00997636 | 01 |
| FL | 0046297-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427231091 | Robert R. Snowden | Radiology | 100 N Academy Ave, Danville, PA 17822-2007 | 2007-12-06 |
| Street Address |
14546 OLD SAINT AUGUSTINE RD STE 401 CREDENTIALING DEPARTMENT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390022 | Becky Hale | Nurse Practitioner | 14546 Old Saint Augustine Rd Ste 401, Jacksonville, FL 32258-5473 | 2018-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1740562875 | Onslow Ambulatory Services, Inc. | Otolaryngology | 55 Office Park Dr, Jacksonville, NC 28546-7327 | 2011-09-14 |
| 1225317217 | Joseph Fares Md Pa | Otolaryngology | 4306 University Blvd S, Jacksonville, FL 32216-4910 | 2011-08-09 |
| 1720394695 | Rodolfo Enrique Manosalva | Otolaryngology | 554 Keily St., Jacksonville, FL 32212-5000 | 2010-08-29 |
| 1700060555 | Iman Naseri | Otolaryngology | 6817 Southpoint Parkway, Suite 502, Jacksonville, FL 32216-6289 | 2007-12-27 |
| 1366504342 | Dayananda Mulur Shetty | Otolaryngology | 9831 Del Webb Parkway, #2305, Jacksonville, FL 32256-5807 | 2006-12-15 |
| 1255406898 | Justin Randolph Moy | Otolaryngology | 14546 Old Saint Augustine Rd Ste 301, Jacksonville, FL 32258-5472 | 2006-11-21 |
| 1427122118 | Joseph Fares | Otolaryngology | 4306 University Blvd South, Jacksonville, FL 32216 | 2006-11-17 |
| 1952470874 | Lawrence Albert Lisska | Otolaryngology | 4130 Salisbury Rd, Suite 1900, Jacksonville, FL 32216-8031 | 2006-11-07 |
| 1558376004 | Advanced Otolaryngology Services Pa | Otolaryngology | 3627 University Blvd S Ste 210, Jacksonville, FL 32216-4256 | 2006-07-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.