MEDICARE: SHAWN CHARLES SNOW M.D.

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	207L00000X	Anesthesiology Physician	2021-02854	NC
2	207L00000X	Anesthesiology Physician	ME45402	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	809531	OTHER	CO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1881780310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN CHARLES SNOW M.D.

Provider Business Mailing Address
First Line	:	8000 E MAPLEWOOD AVE
Second Line	:	STE 200
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-4727
Country	:	US
Telephone Number	:	352-867-8898
Fax Number	:	352-732-6282

Provider Business Practice Location Address
First Line	:	1400 E BOULDER ST
Second Line	:	DEPARTMENT OF ANESTHESIA
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-5533
Country	:	US
Telephone Number	:	352-867-8898
Fax Number	:	352-732-6282

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	05/18/2026

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