- Practice location
- 231 W Pine Lake Dr, Newaygo, MI 49337-9264
- Phone
- 203-430-1321
- Fax
- —
- Last updated
- August 9, 2024
Revive Medical Group Mi PC is a healthcare organization based in Newaygo, MI. Revive Medical Group Mi PC practices in Newaygo, MI. The NPI Number for Revive Medical Group Mi PC is 1679304893. The current practice location address for Revive Medical Group Mi PC is 231 W Pine Lake Dr, Newaygo, MI 49337-9264 and can be reached out via phone at 203-430-1321.
Provider Profile Details
- NPI Number
- 1679304893
- Provider Name
- Revive Medical Group Mi PC
- Provider Entity Type
- Organization
- Address
- 231 W Pine Lake Dr, Newaygo, MI 49337-9264
- Phone Number
- 203-430-1321
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Organization Subpart
- No
- Authorized Official
- Omar Ziyadeh · Ceo/Program Manager · 203-430-1321
- Provider Enumeration Date
- August 9, 2024
- Last Update Date
- August 9, 2024
- Certification Date
- August 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 231 W Pine Lake Dr
Newaygo, MI 49337-9264 - City
- Newaygo
- State
- Michigan
- Zip
- 49337-9264
- Phone Number
- 203-430-1321
Provider Business Mailing Address Details
- Address
- 81 Roanoke Ave
Fairfield, CT 06824-6124 - City
- Fairfield
- State
- CT
- Zip
- 06824-6124
- Phone Number
- 203-430-1321
License Information
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Psychiatry providers near Newaygo, MI
View all Psychiatry & Neurology, Psychiatry providers in Newaygo →Frequently Asked Questions
What is the NPI number of Revive Medical Group Mi PC?
The NPI number of Revive Medical Group Mi PC is 1679304893. It was assigned on August 9, 2024 and is currently active in the NPPES registry.
What is the specialty of Revive Medical Group Mi PC?
Revive Medical Group Mi PC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).
Where does Revive Medical Group Mi PC practice?
The practice location is 231 W Pine Lake Dr, Newaygo, MI 49337-9264. The office can be reached at 203-430-1321 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679304893 directly on the NPPES registry website.