Healthcare Provider Details

I. General information

NPI: 1316194483
Provider Name (Legal Business Name): ANGELA YVONNE SAVAGE DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9419 COMMON BROOK RD STE 200
OWINGS MILLS MD
21117-7570
US

IV. Provider business mailing address

9722 GROFFS MILL DR # 111
OWINGS MILLS MD
21117-6341
US

V. Phone/Fax

Practice location:
  • Phone: 443-855-5952
  • Fax:
Mailing address:
  • Phone: 443-855-5952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number01495
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2357
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1495
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: