Active NPI
Michele Renee Savage
- Durable Medical Equipment & Medical Supplies
- Cottage Grove, OR
National Provider Identifier
1558767814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 148 Gateway Blvd
Cottage Grove, OR 97424 - Phone
- (541) 225-5443
- Fax
- (541) 647-6358
- NPI assigned
- Nov 14, 2014
- Last updated
- Jan 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Customized Equipment (DME) | 332BC3200X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | ||
| Orthotic Fitter | 225000000X | NU |
Addresses
Primary practice location
148 Gateway Blvd
Cottage Grove, OR 97424
Mailing address
PO Box 186
148 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 225-5443
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1558767814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"address_2": "148 GATEWAY BLVD",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "97424",
"telephone_number": "541-225-5443",
"fax_number": "541-647-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 GATEWAY BLVD",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "97424",
"telephone_number": "541-225-5443",
"fax_number": "541-647-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVAGE",
"first_name": "MICHELE",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-14",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.