Active NPI
Optum Medical Services, P.C.
- Nurse Practitioner
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- OPTUM MEDICAL SERVICES, P.C.
- Practice address
- 11000 Optum Cir
Eden Prairie, MN 55344-2503 - Phone
- (410) 625-2200
- NPI assigned
- Aug 12, 2015
- Last updated
- Aug 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Shumacher, MD
- Title
- Chief Medical Officer
- Phone
- (240) 683-5331
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
11000 Optum Cir
Eden Prairie, MN 55344-2503
Mailing address
210 Westwood PL Ste 30
Brentwood, TN 37027-7554
Other practice location 1
3926 Kirkwood Hwy Ste B
Wilmington, DE 19808-5110
Phone (615) 224-5026
Other practice location 2
2150 N 107th St Ste 480
Seattle, WA 98133-9009
Phone (866) 686-2504
Other practice location 3
700 Washington St E
Charleston, WV 25301-1657
Phone (615) 224-5026
Other practice location 4
8526 Del Webb Blvd
Las Vegas, NV 89134-8676
Phone (615) 224-5026
Other practice location 5
795 Woodlands Pkwy
Ridgeland, MS 39157-5240
Phone (615) 224-5026
National Provider Directory
National Provider Directory- Tax ID family
- Optum Medical Services PC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Service Psychologist
- Eden Prairie, MN
- NPI 1023409273
-
- Health Maintenance Organization
- Seattle, WA
- NPI 1912257759
-
- Primary Care Clinic/Center
- Overland Park, KS
- NPI 1629403696
-
dba Optum Clinic
- Family Medicine Physician
- Overland Park, KS
- NPI 1053721779
Locations
3926 Kirkwood Hwy
Ste B
Wilmington, DE 19808
795 Woodlands Pkwy
Ridgeland, MS 39157
8526 Del Webb Blvd
Las Vegas, NV 89134
Phone (702) 254-9192
210 Westwood Pl
Ste 30
Brentwood, TN 37027
Phone (888) 423-1079
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1447593736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1124494273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WESTWOOD PL STE 30",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277554"
},
{
"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": "410-625-2200"
}
],
"practiceLocations": [
{
"address_1": "3926 Kirkwood Hwy Ste B",
"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": "2150 N 107th St Ste 480",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981339009",
"country_code": "US",
"telephone_number": "866-686-2504",
"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"
},
{
"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": "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"
}
],
"basic": {
"organization_name": "OPTUM MEDICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "SHUMACHER",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "240-683-5331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.