Active NPI
Michael Alan Savin, MD
- Medical Oncology Physician
- Portland, OR
National Provider Identifier
1558308114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD169734
- Practice address
- 3181 SW Sam Jackson Park Rd
Mail Code: L586
Portland, OR 97239-3011 - Phone
- (503) 494-5672
- Fax
- (503) 494-3257
- NPI assigned
- Jun 1, 2006
- Last updated
- Jan 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD169734 | OR | |
| Medical Oncology Physician | 207RX0202X | MD169734 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Mail Code: L586
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Mail Code: L586
Portland, OR 97239-3011
Phone (503) 494-5672
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100216200B | Medicaid | OK | |
| 138218601 | Medicaid | TX | |
| 8R1543 | Other | TX | BLUE CROSS OF TEXAS |
| 138218604 | Medicaid | TX | |
| 138218608 | Other | TX | CHSCN |
| 138218605 | Medicaid | TX | |
| 138218607 | Medicaid | TX | |
| 138218606 | Medicaid | TX | |
| 138218610 | Medicaid | TX |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD169734 | OR | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1558308114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAIL CODE: L586",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-5672",
"fax_number": "503-494-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAIL CODE: L586",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-5672",
"fax_number": "503-494-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVIN",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OR",
"license": "MD169734",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OR",
"license": "MD169734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100216200B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138218601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "8R1543",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138218604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHSCN",
"identifier": "138218608",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138218605",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138218607",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138218606",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138218610",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.