Individual provider Active NPI

Timothy Savage-Eastburn, PA

  • Medical Physician Assistant
  • Gainesville, FL
National Provider Identifier
1184867889
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3438 Issued in FL
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

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000894 FL Practitioner - Physician Assistant 9335338383 Reassigns benefits to 2 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Florida Health Center, Inc CurrentSince Apr 25, 2023 Accepting new patients
Heart of Florida Health Center Inc CurrentSince Apr 25, 2023 Accepting new patients
Tri-County Primary Care Inc PastSince May 1, 2004 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.