Edison Revolution, LLC
NPI 1346004108ActiveOrganization· Exclusive Provider Organization· Jenks, OK
Exclusive Provider Organization in Jenks, Oklahoma, registered in NPPES in February 2024. The authorized official on file is Glenn Eddleman, Member.
Overview
| NPI | 1346004108 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2024 |
| Last updated in NPPES | Feb 12, 2024 |
| Certified by provider | Feb 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Exclusive Provider Organization providers in Jenks
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