Provider Demographics
NPI:1528237716
Name:SAVINO, YOKO (DO)
Entity type:Individual
Prefix:
First Name:YOKO
Middle Name:
Last Name:SAVINO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6920 POINTE INVERNESS WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-7934
Mailing Address - Country:US
Mailing Address - Phone:765-475-8510
Mailing Address - Fax:260-479-2922
Practice Address - Street 1:285 W 12TH ST STE 206
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:IN
Practice Address - Zip Code:46970-1654
Practice Address - Country:US
Practice Address - Phone:765-475-8510
Practice Address - Fax:260-479-2922
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT 011881207Q00000X
IN02003243A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200926920Medicaid
PAOT 011881OtherFAMILY PRACTICE