Healthcare Provider Details

I. General information

NPI: 1215387550
Provider Name (Legal Business Name): TIMOTHY SAVATT PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2016
Last Update Date: 06/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

214 BLOOM ST
DANVILLE PA
17821-1531
US

V. Phone/Fax

Practice location:
  • Phone: 800-275-6401
  • Fax:
Mailing address:
  • Phone: 412-680-8866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: