MEDICARE: TIMOTHY JUDE SAVOIE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA.200030	LA
2	363A00000X	Physician Assistant	PA.CH0107	LA
3	363AM0700X	Medical Physician Assistant	PA.200030	LA
4	225100000X	Physical Therapist	0010-15536	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386637205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY JUDE SAVOIE PA-C

Provider Business Mailing Address
First Line	:	100 KIMEL FOREST DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-6074
Country	:	US
Telephone Number	:	336-716-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	4515 PREMIER DR STE 307
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8356
Country	:	US
Telephone Number	:	336-802-2250
Fax Number	:	336-881-3890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	10/03/2025

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