Optum Medical Services, P.C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

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

Organization subpart

No

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

Specialties & licenses 1

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.

  • Health Service Psychologist
  • Eden Prairie, MN
  • NPI 1023409273
  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": "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": []
}

• Optometric Associates, LTD.
• Optum Behavioral Care of Colorado, P.C.
• Optum Medical Services of California, P.C.
• Optum Medical Services of Colorado, P.C.
• Optum Medical Services, P.C.
• Optum Medical Services, PC
• Optumrx, Inc.
• Vali Orandi, MD
• Jon Hwang Ordner
• Pamela J. Orning

• Nurse Practitioner in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Nurse Practitioner in Minnesota

• 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.

Verify at the official NPI Registry.