MEDICARE: JAMES A SAVAGE M.D.

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	207W00000X	Ophthalmology Physician	44742	TN
2	207W00000X	Ophthalmology Physician	21485	MS
3	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	21485	MS
4	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	44742	TN
5	207W00000X	Ophthalmology Physician	0101233783	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00734895	OTHER	TN	PALMETTO RR MEDICARE
5	P01096032	OTHER	MS	PALMETTO RR MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851395446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A SAVAGE M.D.

Provider Business Mailing Address
First Line	:	825 RIDGE LAKE BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-9411
Country	:	US
Telephone Number	:	901-685-2200
Fax Number	:	901-820-2342

Provider Business Practice Location Address
First Line	:	4710 SPOTSYLVANIA PKWY STE 104
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22407-9433
Country	:	US
Telephone Number	:	540-741-2733
Fax Number	:

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	09/18/2024

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