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REVELATION MEDICAL LLC
NPI 1710640255
Family Medicine in Tulsa, OK

Active since October 21, 2021
4636 S HARVARD AVE STE 104, TULSA, OK 74135(918) 398-8900 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revelation Medical Llc NPPES

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

REVELATION MEDICAL LLC (NPI 1710640255) is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since October 2021. The organization lists James Linn, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1710640255
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVELATION MEDICAL LLC
Location Address4636 S HARVARD AVE STE 104Tulsa, OK 74135-2908
Mailing Address4636 S Harvard Ave Ste 104Tulsa, OK 74135-2908 · (918) 398-8900
Phone(918) 398-8900
Organization SubpartNo
Authorized OfficialJames LinnAuthorized Official · (918) 398-8900
Enumeration DateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1710640255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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

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.

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

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 LLC's NPI number?

The NPI number for Revelation Medical LLC is 1710640255. It was assigned to this organization in the NPPES registry on October 21, 2021.

Where is Revelation Medical LLC located?

Revelation Medical LLC is located at 4636 S Harvard Ave Ste 104, Tulsa, OK 74135. The listed phone number is (918) 398-8900.

What is Revelation Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Revelation Medical LLC was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.