Edward Allen Savala, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M8226 Issued in ID

Practice address

524 Cleveland Blvd
Ste. 110
Caldwell, ID 83605-4076

Phone

(208) 459-3630

Fax

(208) 459-3651

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1063548279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CLEVELAND BLVD",
            "address_2": "STE. 110",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053625",
            "telephone_number": "208-459-3630",
            "fax_number": "208-459-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND BLVD",
            "address_2": "STE. 110",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054076",
            "telephone_number": "208-459-3630",
            "fax_number": "208-459-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVALA",
        "first_name": "EDWARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "M8226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY CONNECTION PRV. #",
            "identifier": "806083300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806003800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald E Sanford Jr., PA
• Harvey S Santos Beteta, RN
• Laurel Jane Sapp, LMSW
• Isabella M Satterthwait, PA-C
• Michael Anthony Savage, LMSW
• Sawtooth Family Support Services LLC
• Virginia R Sayre, R.N.
• Kellye Schab
• Kassidy Rae Scheer, MS, RDN, LD
• Shantel Leigh Schirado, RD, LD

• Primary Care Clinic/Center in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.