MR. ETHAN LOWELL SNYDER (NPI# 1386876761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386876761 |
| Entity Type | Individual |
| Full Name | MR. ETHAN LOWELL SNYDER |
| Credential | PA-C |
| Practice Address |
368 E Riverside Dr Suite A St George UT 84790-6896 |
| Mailing Address |
6360 South 3000 East #300 Salt Lake City UT 84121-6926 |
| Practice Telephone | 4352151611 |
| Practice Fax Number | 4356731182 |
| Mailing Telephone | 8019443144 |
| Mailing Fax Number | 8019443186 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2011-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
7426326-8906 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
7426326-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821239914 | Ethan Michael Snyder | Developmental Therapist | 1004 Hickory Hill Ln, Suite 4, Hermitage, TN 37076-1930 | 2009-03-18 |
| Street Address |
368 E RIVERSIDE DR SUITE A |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-6896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240310 | Roger L Siddoway | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-01-18 |
| 1164837621 | Dixie Pediatric Dental | Dentist | 368 E Riverside Dr, Building 6, St George, UT 84790-6896 | 2014-06-24 |
| 1083969455 | Steffanie Peterson | Nurse Practitioner | 368 E Riverside Dr, Ste A, St George, UT 84790-6897 | 2012-07-20 |
| 1730452814 | Amsurg St George Anesthesia, LLC | Anesthesiology | 368 E Riverside Dr, Suite B, St George, UT 84790-6896 | 2012-02-20 |
| 1972740249 | Riverside Dental LLC | Clinic/Center | 368 E Riverside Dr, Bldg #2, St George, UT 84790-6896 | 2009-01-08 |
| 1386775153 | Riverside Dental Care PC | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-03-07 |
| 1477688232 | David R Stevens | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-02-22 |
| 1104960863 | James Kim Ott | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-02-16 |
| 1255405957 | Utah Gastroenterology P C | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-11-17 |
| 1396851028 | Roxie A Brown | Clinical Nurse Specialist | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1144403114 | Gay Sleight | Physician Assistant | 558 E Riverside Dr Suite 200, St George, UT 84790 | 2007-12-12 |
| 1255788303 | Elijah Adam Fielding | Physician Assistant | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2016-05-18 |
| 1457610255 | Bonnie Lynn Wood | Physician Assistant | 1036 E Riverside Dr, St George, UT 84790-4477 | 2012-05-14 |
| 1053677245 | Richard C Tebbs II | Physician Assistant | 544 S 400 E, St George, UT 84770-3705 | 2012-04-02 |
| 1407159130 | Brian Dwayne Lefler | Physician Assistant | 301 N 200 E Ste 2a, St George, UT 84770-3040 | 2010-12-20 |
| 1306063912 | Holly Marie Ferguson | Physician Assistant | 544 S 400 E, St George, UT 84770-3705 | 2007-04-18 |
| 1659405314 | Mark W Udy | Physician Assistant | 1490 E Foremaster Dr Ste 220, St George, UT 84790-4498 | 2007-03-15 |
| 1285735688 | Cortney A Bernardo | Physician Assistant | 1490 E Foremaster Dr, Ste 220, St George, UT 84790-4488 | 2006-09-26 |
| 1508962309 | Lee S Hogan | Physician Assistant | 1067 E Tabernacle St, Ste 7, St George, UT 84770-3163 | 2006-09-16 |
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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.