Provider Demographics
NPI:1356391031
Name:SAVAGE, RACHEL E (PA-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7370 TURFWAY RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4895
Mailing Address - Country:US
Mailing Address - Phone:859-212-0497
Mailing Address - Fax:859-282-1141
Practice Address - Street 1:7370 TURFWAY RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4895
Practice Address - Country:US
Practice Address - Phone:859-212-0497
Practice Address - Fax:859-282-1141
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.002996363A00000X
IN10004198A363A00000X
KYTC176363A00000X
AZ3308363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCC2433OtherRAILROAD MEDICARE
H081341Medicare PIN
OH9284399Medicare PIN
OH1114950018Medicare NSC
OH1114950017Medicare NSC
OHCC2433OtherRAILROAD MEDICARE