MS. TINA L SNODGRASS (NPI# 1962598557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962598557 |
| Entity Type | Individual |
| Full Name | MS. TINA L SNODGRASS |
| Credential | APRN, FNP-C |
| Practice Address |
920 Frederica St Ste 306 Owensboro KY 42301-3078 |
| Practice Telephone | 2709260707 |
| Mailing Telephone | 2709260707 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 3002620 | KY | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3002620 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE PTAN | K030132 | 01 |
| KY | 7800330800 | 05 | |
| KY | MEDICARE GROUP PTAN | K080520 | 01 |
| Street Address |
920 FREDERICA ST STE 306 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154471985 | Nicole Lynn Brey | Dermatology | 2915 New Hartford Rd., Owensboro, KY 42303-1449 | 2007-01-12 |
| 1215976220 | Sandra B Cox | Dermatology | 2821 New Hartford Rd, Owensboro, KY 42303-1320 | 2006-06-05 |
| 1467843250 | Dermatology Center of Owensboro Pllc | Dermatology | 2200 E Parrish Ave, Bld E Ste 205, Owensboro, KY 42303-1449 | 2015-02-15 |
| 1093138323 | Owensboro Dermatology Associates | Dermatology | 2821 New Hartford Rd, Owensboro, KY 42303-1320 | 2014-01-22 |
| 1275973919 | Advanced Dermatotlogy Associates, Psc | Dermatology | 2915 New Hartford Rd, Owensboro, KY 42303-1323 | 2013-06-26 |
| 1356663116 | Nicole Vessels Brey Md | Dermatology | 2200 E Parrish Ave, Bldg E Suite 205, Owensboro, KY 42303-1449 | 2010-02-22 |
| 1780841361 | Owensboro Health Medical Group, Inc. | Dermatology | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2008-05-21 |
| 1306019518 | Cassey Marie Vessels | Dermatology | 2200 E Parrish Ave, Bldg E. Ste 205, Owensboro, KY 42303-1449 | 2008-04-08 |
| 1821130295 | Owensboro Dermatology Associates, Psc | Dermatology | 2821 New Hartford Rd, Owensboro, KY 42303-1320 | 2007-02-13 |
| 1215042429 | Artis P. Truett IIi | Dermatology | 2821 New Hartford Rd, Owensboro, KY 42303-1320 | 2006-08-20 |
| Find all providers in OWENSBORO | ||||
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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.