Organization Active NPI

Optim Health Group LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
National Provider Identifier
1013455070
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32707 Issued in AZ
Legal business name
OPTIM HEALTH GROUP LLC
Practice address
4848 E Cactus Rd
Ste 505-124
Scottsdale, AZ 85254-4163
Phone
(623) 277-1537
Fax
(888) 908-3891
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher S Ray, M.D.
Title
President
Phone
(623) 277-1537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 32707 AZ Primary

Addresses

Primary practice location

4848 E Cactus Rd
Ste 505-124
Scottsdale, AZ 85254-4163

Mailing address

4848 E Cactus Rd
Ste 505-124
Scottsdale, AZ 85254-4163
Phone (623) 277-1537

National Provider Directory

National Provider Directory

Locations

4848 E Cactus Rd
Ste 505124
Scottsdale, AZ 85254
Phone (623) 277-1537

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1013455070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD",
            "address_2": "STE 505-124",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544163",
            "telephone_number": "623-277-1537",
            "fax_number": "888-908-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD",
            "address_2": "STE 505-124",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544163",
            "telephone_number": "623-277-1537",
            "fax_number": "888-908-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIM HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-277-1537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "32707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.