REVOLUTION MEDICINE HEALTH & FITNESS PLLC
NPI 1245887959
Family Medicine in Washington, DC

NPI Status: Active since August 19, 2019

Contact Information

1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
ZIP 20036
Phone: (202) 596-8891
Fax: (304) 245-6029

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  • Organization
  • Family Medicine

About REVOLUTION MEDICINE HEALTH & FITNESS PLLC

This page provides the complete NPI Profile along with additional information for Revolution Medicine Health & Fitness Pllc, a primary care provider established in Washington, District Of Columbia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1245887959 assigned on August 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Michael L Glickman Md (Physician)

NPI
1245887959
Provider Name
REVOLUTION MEDICINE HEALTH & FITNESS PLLC
Entity Type
Organization
Location Address
1050 CONNECTICUT AVE NW STE 500 WASHINGTON, DC 20036
Location Phone
(202) 596-8891
Location Fax
(304) 245-6029
Mailing Address
1050 CONNECTICUT AVE NW STE 500 WASHINGTON, DC 20036
Mailing Phone
(202) 596-8891
Mailing Fax
(304) 245-6029
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2019
Last Update Date
12-09-2019
Code Navigator

A primary care provider (PCP) like Revolution Medicine Health & Fitness Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL L GLICKMAN MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(202) 596-8891

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245887959
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228516814910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 8 + 1 + 4 + 9 + 1 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1245887959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760923700WASHINGTON MEDICAL SUPPLIES
Organization
Durable Medical Equipment & Medical Supplies1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(202) 869-4367
1265048557 LATISHA GOLDSMITH BT
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(866) 586-4861
1932706819 MONICA BRITT
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(866) 586-4861
1013514983 DANIELLE CARLOS
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(866) 586-4861
1043810864 CRYSTAL ROGERS
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1184224719 RONALD MICHAEL GOODING
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(866) 625-4740
1487258489 FELISHA ENTWISTLE
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1306432018 TERANI KINGWOOD
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(866) 586-4861
1982290698 SHERRI DANIELS
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(866) 586-4861
1669066528 FRANKLYN RICHARDS
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1417541384 KAYLA NOEL
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1871187716 CIARA DOMINIQUE CAMPBELL
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1194319038 CAROLYN JONES
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1528652476 DORIS DIAS
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1912591751 NICOLE JENNINGS
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1891380598 ANITA R GANS
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1659956837 PALAK GULATI
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1841875796 CHELSIE VALENCIA
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1376129684 HALEY JO BRADY
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560
1144806704 THOMAS TRISTAN KOSSAN
Individual
Behavior Technician1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
(833) 599-2560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245887959, enumerated in the NPI registry as an "organization" on August 19, 2019

The provider is located at 1050 Connecticut Ave Nw Ste 500 Washington, Dc 20036 and the phone number is (202) 596-8891

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on August 19, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.