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Contact Information

JOHN G VANSAVAGE, MD
1029 MEDICAL CENTER CIR STE 408
MAYFIELD, KY42066-1189
 Phone: 270-251-4060
 Fax: 270-251-4061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JOHN G VANSAVAGE · (Male)

NPI # 1467457945
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 32546
  • LA License # 14153R
  • LA Medicaid 1189413
  • LA Other 340019044 RAILROAD MEDICARE
Hospital affiliation(s)
  • JACKSON PURCHASE MEDICAL CENTER - (Acute Care)
    1099 MEDICAL CENTER CIRCLE
    MAYFIELD, KY 42066
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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