Revival Health Medical Group Or P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REVIVAL HEALTH MEDICAL GROUP OR P.C.

Practice address

2703 W 146TH St
Leawood, KS 66224-5921

Phone

(816) 714-9292

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Charles I. Carino, D.O.NPI 1033366513

Title

President

Phone

(816) 714-9292

Specialties & licenses 1

Addresses

Practitioners 1

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

• Charles Incognito Carino, DO

  • Emergency Medicine Physician
  • Trenton, MI
  • NPI 1033366513
  NPD (past) Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1841957271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 W 146TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662245921",
            "telephone_number": "816-714-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 W 146TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662245921",
            "telephone_number": "816-714-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HEALTH MEDICAL GROUP OR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "CARINO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-714-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Renschen
• Residential Hospice of Missouri, LLC
• Residential Hospice of Missouri, LLC
• Restorative Brain Center
• Revival Health Medical Group KS PA
• Charles E Rhoades, MD
• Sarah Evelyn Rhodes
• Rachel Richards
• Amy Kristine Richardson, NP
• Julie Marie Richardson, L.S.C.S.W.

• General Practice Physician in Leawood, KS
• Providers in Leawood, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.