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AGE REVERSAL TECHNOLOGIES
NPI 1841594892
Family Medicine in Wichita, KS

Active since January 05, 2011
2600 N WOODLAWN BLVD, WICHITA, KS 67220(316) 640-6253(316) 858-2523 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Age Reversal Technologies NPPES

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

AGE REVERSAL TECHNOLOGIES (NPI 1841594892) is a healthcare organization registered as a family medicine in Wichita, Kansas and active in the NPI registry since January 2011. The organization lists Michael N Shaw, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1841594892
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAGE REVERSAL TECHNOLOGIES
Location Address2600 N WOODLAWN BLVDWichita, KS 67220-2729
Mailing Address2600 N Woodlawn BlvdWichita, KS 67220-2729 · (316) 640-6253 · Fax (316) 858-2523
Phone(316) 640-6253
Fax(316) 858-2523
Organization SubpartNo
Authorized OfficialMichael N ShawOwner/president · (316) 640-6253
Enumeration DateJanuary 5, 2011
Last NPPES UpdateSeptember 30, 2011
✔ NPI 1841594892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 15-00115
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 ListedInternal MedicineTaxonomy 207R00000X · License 15-00115 (KS)
2600 N WOODLAWN BLVD, Wichita, KS 67220
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

SIOBHAN HEADMAN
Registered Nurse (Nurse Massage Therapist (NMT))
2600 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 838-2883
DR. TODD A BROWN M.D.
Specialist
2600 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 260-1690
DR. NADER S ELDIKA M.D.
Internal Medicine (Pulmonary Disease)
2600 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 260-1690
MR. KRIS LEWONOWSKI M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2600 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 684-3838
KANSAS PHYSICIANS GROUP, LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2600 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 684-3838
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
2600 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 684-3838
MRS. JENNIFER BETH SPRIGGS ARNP
Nurse Practitioner (Family)
2600 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 260-1690
KANSAS PHYSICIANS GROUP, LLC
Internal Medicine (Clinical Cardiac Electrophysiology)
2600 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 858-2681

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 Age Reversal Technologies's NPI number?

The NPI number for Age Reversal Technologies is 1841594892. It was assigned to this organization in the NPPES registry on January 5, 2011.

Where is Age Reversal Technologies located?

Age Reversal Technologies is located at 2600 N Woodlawn Blvd, Wichita, KS 67220. The listed phone number is (316) 640-6253.

What is Age Reversal Technologies'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 Age Reversal Technologies was last updated on September 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.