Optum Medical Services, P.C.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Legal business name

OPTUM MEDICAL SERVICES, P.C.

Practice address

11000 Optum Cir
Eden Prairie, MN 55344-2503

Phone

(503) 746-0048

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ronald J. Shumacher, M.D.

Title

Owner

Phone

(240) 683-5331

Specialties & licenses 6

Addresses

Tax ID family

Optum Medical Services PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Optum Medical Services, P.C.

  • Nurse Practitioner
  • Eden Prairie, MN
  • NPI 1124494273
  NPD tax ID
• Optum Medical Services

  • Health Maintenance Organization
  • Seattle, WA
  • NPI 1912257759
  NPD tax ID
• Optum Medical Services PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1780090381
  NPD tax ID
• Optum Medical Services, P.C.

  • Primary Care Clinic/Center
  • Overland Park, KS
  • NPI 1629403696
  NPD tax ID
• Optum Medical Services, PC

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1053721779
  NPD tax ID

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1023409273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTWOOD PL STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277554",
            "telephone_number": "615-224-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "503-746-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3926 Kirkwood Hwy",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085110",
            "country_code": "US",
            "telephone_number": "615-224-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 Woodlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391575240",
            "country_code": "US",
            "telephone_number": "615-224-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8526 Del Webb Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891348676",
            "country_code": "US",
            "telephone_number": "615-224-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Washington St E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011657",
            "country_code": "US",
            "telephone_number": "615-224-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SHUMACHER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-683-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optum Medical Services, PC
• Optumrx, Inc.
• Vali Orandi, MD
• Jon Hwang Ordner

• Health Service Psychologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Health Service Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.