Physician Compare National (NPI:1043216161)

HEALTHCARE PROVIDER: MICHELLE LEE SNYDER DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043216161
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527045145
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110913000456
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SNYDER
	Individual professional last name
Provider First Name	MICHELLE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	328 N 2ND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	102 RIVERSIDE FAM CLINIC
	Group Practice or individual's line 2 address
City	VINCENNES
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	475911351
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150042
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	151319
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GIBSON GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150082
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DEACONESS HOSPITAL INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150115
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL HOSPITAL AND HEALTH CARE CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y