GRADY KING SNYDER JR. (NPI# 1851337984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851337984 |
| Entity Type | Individual |
| Full Name | GRADY KING SNYDER JR. |
| Credential | M.D. |
| Practice Address |
3443 Alpine Dr Casper WY 82601-5917 |
| Practice Telephone | 3074411026 |
| Mailing Telephone | 3074411026 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9504A | WY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 27626 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01276260 | 05 | |
| CO | RR MEDICARE | P00942266 | 01 |
| Street Address |
3443 ALPINE DR |
| City | CASPER |
| State | WY |
| Zip Code | 82601-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780093047 | Frances Crouch | Social Worker | 3443 Alpine Dr, Casper, WY 82601-5917 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1598028698 | Nickolas Grant Harker | Family Medicine | 3632 American Way Ste A, Casper, WY 82601-3164 | 2012-06-22 |
| 1376710707 | Han Kuang Chen | Family Medicine | 1900 S Missouri Ave, Apt. #3128, Casper, WY 82609-3308 | 2008-05-14 |
| 1326223751 | Eric Lawrence | Family Medicine | 5840 E 2nd St Ste 200, Casper, WY 82609-4363 | 2008-01-03 |
| 1346434487 | Brubaker Family Practice, P.C. | Family Medicine | 1311 E 3rd St, Casper, WY 82601-2934 | 2007-08-31 |
| 1437231552 | Elbridge Lee Brubaker | Family Medicine | 1311 East 3rd St, Casper, WY 82601 | 2006-10-19 |
| 1053426759 | Johnny M Tooke | Family Medicine | 2241 Farnum Ste 105, Casper, WY 82609 | 2006-08-20 |
| 1558375477 | Dana Ray Ideen | Family Medicine | 1315 E A St, Casper, WY 82601-2212 | 2006-07-28 |
| 1518905595 | Michele R Mohr | Family Medicine | 5715 E 2nd St, Casper, WY 82609-4322 | 2006-06-03 |
| 1174573661 | Eugene P Duquette | Family Medicine | 1233 E 2nd Street, Casper, WY 82601-4815 | 2006-05-12 |
| Find all providers in CASPER | ||||
Please comment or provide details below to improve the information on GRADY KING SNYDER JR..
| 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.