ETHAN MICHAEL SNIDER DO
NPI 1952104564
Student in an Organized Health Care Education/Training Program in Saint Joseph, MI

Active since March 29, 2025PECOS Enrolled
1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 982-4941 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Michael Snider Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN MICHAEL SNIDER DO (NPI 1952104564) is an individual student in an organized health care education/training program in Saint Joseph, Michigan and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952104564
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN MICHAEL SNIDERCredential: DO
Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112
Mailing Address1234 Napier AveSaint Joseph, MI 49085-2112 · (269) 982-4941
Sole ProprietorNo
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
NPI 1952104564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1234 NAPIER AVE, Saint Joseph, MI 49085

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan Michael Snider Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Occupational Therapist
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Radiology (Diagnostic Radiology)
1234 NAPIER AVE
ST JOSEPH, MI 49085
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Emergency Medicine
1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Snider's NPI number?

The NPI number for Ethan Snider is 1952104564. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Ethan Snider located?

Ethan Snider practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-4941.

What is Ethan Snider's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Snider enrolled in Medicare?

Yes. Ethan Snider is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Snider was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.