Provider Demographics
NPI:1013150481
Name:SAVAGE, ADAM MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:MICHAEL
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 12TH AVE NW STE B
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1206
Mailing Address - Country:US
Mailing Address - Phone:580-223-5180
Mailing Address - Fax:580-223-5184
Practice Address - Street 1:731 12TH AVE NW
Practice Address - Street 2:SUITE 302
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-5761
Practice Address - Country:US
Practice Address - Phone:580-220-6200
Practice Address - Fax:580-220-6258
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10033746207L00000X
OK30401207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology