Healthcare Provider Details

I. General information

NPI: 1659500098
Provider Name (Legal Business Name): TIMOTHY R SAVAGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4074 GANTZ RD
GROVE CITY OH
43123-4816
US

IV. Provider business mailing address

4074 GANTZ RD
GROVE CITY OH
43123-4816
US

V. Phone/Fax

Practice location:
  • Phone: 614-917-1346
  • Fax: 614-259-0619
Mailing address:
  • Phone: 614-917-1346
  • Fax: 614-259-0619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.099711
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: