Active NPI
Douglas M Savikko, DO
- Family Medicine Physician
- Eagle River, AK
National Provider Identifier
1154433308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD1667
- Practice address
- 12103 Horseshoe Dr
Eagle River, AK 99577-7547 - Phone
- (907) 694-4333
- Fax
- (907) 694-8851
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD1667 | AK | Primary |
Addresses
Primary practice location
12103 Horseshoe Dr
Eagle River, AK 99577-7547
Mailing address
12103 Horseshoe Dr
Eagle River, AK 99577-7547
Phone (907) 694-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1667 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD1667 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Anesthesia and Pain Medicine, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Eagle River, AK
- NPI 1407171069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1154433308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12103 HORSESHOE DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777547",
"telephone_number": "907-694-4333",
"fax_number": "907-694-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12103 HORSESHOE DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777547",
"telephone_number": "907-694-4333",
"fax_number": "907-694-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVIKKO",
"first_name": "DOUGLAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "MD1667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1667",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.