Individual provider Active NPI

Todd Owen Savidge, MD

  • Family Medicine Physician
  • Grand Haven, MI
National Provider Identifier
1821033408
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4031508866 Issued in MI
Practice address
1091 S Beacon Blvd
Grand Haven, MI 49417-2607
Phone
(616) 604-0096
Fax
(616) 604-0095
NPI assigned
Jun 18, 2006
Last updated
May 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4031508866 MI Primary

Addresses

Primary practice location

1091 S Beacon Blvd
Grand Haven, MI 49417-2607

Mailing address

PO Box 776982
Chicago, IL 60677-6982

Other identifiers 1

IdentifierTypeStateIssuer
1821033408MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061215000062 WV Practitioner - Emergency MedicinePractitioner - Family Practice 0547269862 Reassigns benefits to 1 organization
I20230330000734 MI Practitioner - Emergency Medicine 0547269862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4031508866MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners CurrentSince May 1, 2023 Accepting new patients
Mercy Health Partners CurrentSince May 1, 2023 Accepting new patients
University Healthcare Physicians Inc CurrentSince May 1, 2017 Accepting new patients
Synanon Inc CurrentSince May 1, 2023 Accepting new patients
University Healthcare Physicians, Inc. Family Medicine CurrentSince May 1, 2017 Accepting new patients

Locations

1091 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 604-0096

71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172

905 E Colby St
Whitehall, MI 49461
Phone (231) 672-8050

912 Somerset Blvd
Ste 102
Charles Town, WV 25414
Phone (304) 725-2273

5047 Gerrardstown Rd
Ste 2B
Inwood, WV 25428
Phone (304) 821-1444

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

Interoperability endpoints

  • Direct secure messaging: tsavidge2748815@direct.trinity-health.org
  • Direct secure messaging: tsavidge36268@direct.wvuhsdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1821033408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172607",
            "telephone_number": "616-604-0096",
            "fax_number": "616-604-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVIDGE",
        "first_name": "TODD",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4031508866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821033408",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.