Provider Demographics
NPI:1134258171
Name:SARAGAS, SAVVAS JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:SAVVAS
Middle Name:JOHN
Last Name:SARAGAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:S
Other - Middle Name:JOHN
Other - Last Name:SARAGAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:413 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2516
Mailing Address - Country:US
Mailing Address - Phone:617-623-1900
Mailing Address - Fax:617-623-1919
Practice Address - Street 1:413 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2516
Practice Address - Country:US
Practice Address - Phone:617-623-1900
Practice Address - Fax:617-623-1919
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56814207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3021289OtherMEDICAID MASSHEALTH
152637BMCOtherHARVARD PILGRIM HEALTHCAR
710627OtherTUFTS
MAP00200828OtherRAILROAD MEDICARE
J06287OtherBLUE CROSS BLUE SHIELD
999998OtherGREAT WEST HEALTH
0004347OtherNEIGHBORHOOD HEALTH PLAN
V48122OtherNETWORK HEALTH
123257OtherGREAT WEST HEALTH
A59034Medicare UPIN
V03374Medicare ID - Type Unspecified