Revelation Medical of Oklahoma City LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REVELATION MEDICAL OF OKLAHOMA CITY LLC

Practice address

6001 NW 139TH St
Oklahoma City, OK 73142-1919

Phone

(405) 698-1020

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

James Warren Linn

Title

Authorized Official

Phone

(405) 698-1020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1447902291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NW 139TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421919",
            "telephone_number": "405-698-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NW 139TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421919",
            "telephone_number": "405-698-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION MEDICAL OF OKLAHOMA CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "LINN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "405-698-1020"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reuben Thomas O.D., P.L.L.C.
• Cacee Reuben, ATC
• Dayna Joyce Reust, A.P.R.N.
• Frederick Blake Reuter, M.D.
• Revelation Enterprises Inc
• Revitalize Nutrition Corp
• Revitalizing Hope, LLC
• Revive Clinic LLC
• Revive DME
• Revive Health of Oklahoma LLC

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.