Healthcare Provider Details

I. General information

NPI: 1841978160
Provider Name (Legal Business Name): HAILY EILEEN SAVAGE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAILY EILEEN CISNEROS PA-C

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6670 PERIMETER DR STE 200
DUBLIN OH
43016-8065
US

IV. Provider business mailing address

3400 OLENTANGY RIVER RD
COLUMBUS OH
43202-1523
US

V. Phone/Fax

Practice location:
  • Phone: 614-754-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.009791RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: