Active NPI
Timothy Savage-Eastburn, PA
- Medical Physician Assistant
- Gainesville, FL
National Provider Identifier
1184867889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA3438
- Practice address
- 1311 SW 16TH St
Gainesville, FL 32608-1128 - Phone
- (352) 376-8821
- Fax
- (352) 277-7606
- NPI assigned
- Apr 9, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA3438 | FL | Primary |
Addresses
Primary practice location
1311 SW 16TH St
Gainesville, FL 32608-1128
Mailing address
5200 NW 43Rd St
Suite 102 #387
Gainesville, FL 32606-4484
Phone (352) 328-1529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Florida Health Center, Inc | Current | Accepting new patients | |
| Heart of Florida Health Center Inc | Current | Accepting new patients | |
| Tri-County Primary Care Inc | Past | Accepting new patients |
Locations
2553 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 867-0303
1025 SW 1st Ave
Ocala, FL 34471
Phone (352) 877-7140
6041 SW 54th St
Ste 100
Ocala, FL 34474
Phone (352) 854-0700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACCHDD/Endpoint/ACCHDD
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Ocala, FL
- NPI 1710923727
-
- Geriatric Medicine (Family Medicine) Physician
- Gainesville, FL
- NPI 1750835211
-
- Federally Qualified Health Center (FQHC)
- Ocala, FL
- NPI 1144624750
-
dba Tri County Primary Care
- Rural Health Clinic/Center
- Cross City, FL
- NPI 1437225067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1184867889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 NW 43RD ST",
"address_2": "SUITE 102 #387",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326064484",
"telephone_number": "352-328-1529",
"fax_number": "352-548-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 SW 16TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081128",
"telephone_number": "352-376-8821",
"fax_number": "352-277-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVAGE-EASTBURN",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA3438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.