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Physician Compare National (NPI:1871670133)

HEALTHCARE PROVIDER: JASON C SNOWDEN M.D.

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

Individual Professional Information

NPI 1871670133
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7517935000
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040922000739
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SNOWDEN
Individual professional last name
Provider First Name JASON
Individual professional first name
Provider Middle Name CHRISTOPHER
Individual professional middle name
Provider Gender M
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 UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2001
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

Organization Legal Name WESTERN MISSOURI MEDICAL CENTER
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4183904865
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 10
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 513 BURKARTH RD
Group Practice or individual's line 1 address
City WARRENSBURG
Group Practice or individual's city
State MO
Group Practice or individual's state
Zip Code 640933103
Group Practice or individual's zip code (9 digits when available)
Phone Number 6607477751
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 260097
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 WESTERN MISSOURI MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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