Revival Medical,PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REVIVAL MEDICAL,PLLC

Practice address

720 E 11 Mile Rd
Royal Oak, MI 48067-1964

Phone

(989) 284-6938

NPI assigned

Jul 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Parminder Singh Jaswal, MDNPI 1619916095

Title

Owner

Phone

(989) 284-6938

Specialties & licenses 1

Addresses

Other names 1

• Revival Medical,PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parminder Singh Jaswal, MD

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619916095
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1316775430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671964",
            "telephone_number": "989-284-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL MEDICAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "JASWAL",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-284-6938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revival Medical,PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Repka, CRNA
• Diane E. Reseigh, CNM, MSN
• Resources for Development PC
• Respite & Recovery Home Partners LLC
• Ressem LLC
• Kaitlyn Reyff, LLMSW-C
• Alexandria Reynolds, DO
• Erin Reynolds
• Frances Marie Reynolds, N.P.
• Melissa A Reynolds, BSN, RN

• Family Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.