Provider Demographics
NPI:1427688712
Name:SAVIDGE, EMMA ROSE (MD)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:ROSE
Last Name:SAVIDGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SISTER GIANNA
Other - Middle Name:MARIE
Other - Last Name:SAVIDGE, RSM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3332 W OKMULGEE ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-5069
Practice Address - Country:US
Practice Address - Phone:918-682-2481
Practice Address - Fax:918-682-2932
Is Sole Proprietor?:No
Enumeration Date:2020-01-25
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK34575207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine