MEDICARE: CLAIRE SNODGRASS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA9115612	FL
2	363AM0700X	Medical Physician Assistant	PA11350	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538811781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE SNODGRASS PA-C

Provider Business Mailing Address
First Line	:	14100 58TH ST N
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33760-9900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 N SCOTTSDALE RD STE 320
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5650
Country	:	US
Telephone Number	:	480-882-5740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2022
Last Update Date	:	01/27/2026

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Directions to “ CLAIRE SNODGRASS PA-C” Practice Location

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