OrganizationActive
Edison Revolution, LLC
NPI 1346004108 · Exclusive Provider Organization · Jenks, OK
Edison Revolution, LLC is a Exclusive Provider Organization organization in Jenks, OK (NPI 1346004108).
Provider details
- NPI number
- 1346004108
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Glenn Eddleman, Member(918) 808-1802
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 S Riverfront Dr Ste 400
Jenks, OK 74037-5691
Phone: (800) 967-2077
Approximate (ZIP-level) locationGet directions
Mailing address
100 S Riverfront Dr Ste 400
Jenks, OK 74037-5691
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Frequently asked questions
- What is Edison Revolution, LLC's NPI number?
- Edison Revolution, LLC's National Provider Identifier (NPI) is 1346004108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edison Revolution, LLC?
- Edison Revolution, LLC is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Edison Revolution, LLC located?
- Edison Revolution, LLC's practice location on file with NPPES is 100 S Riverfront Dr Ste 400, Jenks, OK 74037-5691.
- What is Edison Revolution, LLC's phone number?
- The practice phone number listed in the NPPES registry for Edison Revolution, LLC is (800) 967-2077.
- Who is the authorized official for Edison Revolution, LLC?
- The authorized official listed on Edison Revolution, LLC's NPPES record is Glenn Eddleman, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edison Revolution, LLC's NPI active?
- Yes — Edison Revolution, LLC's NPI (1346004108) is active in the NPPES registry as of the last update on 2024-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.