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REVELATION MEDICAL OF TULSA LLC
NPI 1366194110
Anesthesiology - Pain Medicine in Tulsa, OK

Active since January 24, 2022
4636 S HARVARD AVE STE 104, TULSA, OK 74135(918) 742-4005 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2023, Aug 30, 2023, Jan 24, 2022 (3 updates tracked since 2022).

About Revelation Medical Of Tulsa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVELATION MEDICAL OF TULSA LLC (NPI 1366194110) is a healthcare organization registered as a pain medicine in Tulsa, Oklahoma and active in the NPI registry since January 2022. The organization lists James Warren Linn, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366194110
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameREVELATION MEDICAL OF TULSA LLC
Location Address4636 S HARVARD AVE STE 104Tulsa, OK 74135-2908
Mailing Address4636 S Harvard Ave Ste 104Tulsa, OK 74135-2908 · (918) 742-4005
Phone(918) 742-4005
Organization SubpartNo
Authorized OfficialJames Warren LinnAuthorized Official · (918) 742-4005
Enumeration DateJanuary 24, 2022
Last NPPES UpdateOctober 3, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1366194110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysical TherapistTaxonomy 225100000X
4636 S HARVARD AVE STE 104, Tulsa, OK 74135
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANE FOSTER DPT
Physical Therapist
4636 S HARVARD AVE STE 104
TULSA, OK 74135
Tulsa County (918) 742-4005
REVELATION MEDICAL LLC
Family Medicine
4636 S HARVARD AVE STE 104
TULSA, OK 74135
Tulsa County (918) 398-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revelation Medical Of Tulsa LLC's NPI number?

The NPI number for Revelation Medical Of Tulsa LLC is 1366194110. It was assigned to this organization in the NPPES registry on January 24, 2022.

Where is Revelation Medical Of Tulsa LLC located?

Revelation Medical Of Tulsa LLC is located at 4636 S Harvard Ave Ste 104, Tulsa, OK 74135. The listed phone number is (918) 742-4005.

What is Revelation Medical Of Tulsa LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

What insurance does Revelation Medical Of Tulsa LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Revelation Medical Of Tulsa LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revelation Medical Of Tulsa LLC was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.