Active NPI
Oleg Savitskiy
- Surgical Physician Assistant
- Westmont, IL
National Provider Identifier
1891903597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 238.000123
- Practice address
- 200 Heath PL
Westmont, IL 60559-2646 - Phone
- (773) 951-7429
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 238.000123 | IL | Primary |
Addresses
Primary practice location
200 Heath PL
Westmont, IL 60559-2646
Mailing address
200 Heath PL
Westmont, IL 60559-2646
Phone (773) 951-7429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01637103 | Other | IL | BLUE CROSS BLUE SHIELD OF IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000123 | IL | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1891903597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HEATH PL",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592646",
"telephone_number": "773-951-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEATH PL",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592646",
"telephone_number": "773-951-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVITSKIY",
"first_name": "OLEG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "238.000123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF IL",
"identifier": "01637103",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.