Age Reversal Technologies
NPI 1841594892ActiveOrganization· Family Medicine· Wichita, KS
Family Medicine in Wichita, Kansas, registered in NPPES in January 2011. The authorized official on file is Michael N. Shaw, P.A., Owner/President.
Overview
| NPI | 1841594892 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2011 |
| Last updated in NPPES | Sep 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 15-00115 | KS |
| Internal Medicine | 207R00000X | 15-00115 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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