Revolution Health & Wellness Clinic PLLC
NPI 1649515446ActiveOrganization· Family Medicine· Glenpool, OK
Family Medicine in Glenpool, Oklahoma, registered in NPPES in December 2012. The authorized official on file is Chad Preston Edwards, D.O., Physician/Owner.
Overview
| NPI | 1649515446 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2012 |
| Last updated in NPPES | Feb 22, 2021 |
| Certified by provider | Feb 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 4353 | OK |
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 |
|---|
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