Savage Retina LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

SAVAGE RETINA LLC

Practice address

515 S Kentucky Ave
Sedalia, MO 65301-4224

Phone

(573) 746-1506

Fax

(336) 791-7766

NPI assigned

Mar 12, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Mack Savage, MDNPI 1396159208

Title

Physician/Manager

Phone

(816) 266-4213

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mack Weston Savage, M.D.

  • Ophthalmology Physician
  • Sedalia, MO
  • NPI 1396159208

  Retina Specialist

  Medicare reassignment NPD Authorized official
• Ahmed M Elkeeb, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Jacksonville, FL
  • NPI 1568648699

  MO

  Medicare reassignment

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1144029927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10145",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641710145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S KENTUCKY AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014224",
            "telephone_number": "573-746-1506",
            "fax_number": "336-791-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVAGE RETINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "MACK",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGER",
        "authorized_official_telephone_number": "816-266-4213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Nicole Salas, DPT
• Kyle Samples
• Teddy Santiago
• Shawna Lynn Sapaugh, NP-C
• Andrea Sattman, DDS
• Mack Weston Savage, M.D.
• School Dist 200 Sedalia
• Mary Kay Schultz, LCSW
• Sherry L Schwartz, RN BSN BC FNP
• Sedalia Eye Associates, P.C.

• Retina Specialist (Ophthalmology) Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Retina Specialist (Ophthalmology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.