Optum Medical Services, PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

OPTUM MEDICAL SERVICES, PC

Doing business as

Aor

Practice address

11020 Optum Cir
Mn102-0600
Eden Prairie, MN 55344-2503

Phone

(952) 205-0455

NPI assigned

Feb 22, 2017

Last updated

Aug 8, 2017By the provider in NPPES

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, MDNPI 1447593736

Title

Chief Medical Officer

Phone

(240) 683-5331

Specialties & licenses 7

Addresses

Other names 1

• AOR Doing business as

Locations

Practitioners 5

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.

• Ronald Shumacher, M.D.

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1447593736
  NPD (past) Authorized official
• Kasey Bragg Crosby, PA

  • Physician Assistant
  • Augusta, GA
  • NPI 1407284078
  NPD
• Jacqueline Ingram, CRNP

  • Primary Care Nurse Practitioner
  • Hoover, AL
  • NPI 1962265850
  NPD
• Ronald Joseph Schumacher, CRNA

  • Certified Registered Nurse Anesthetist
  • Elko, MN
  • NPI 1427101054
  NPD (past)
• Delica Johnson, APRN

  • Family Nurse Practitioner
  • Maryland Heights, MO
  • NPI 1801438403
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1144769241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 WINDCROSS CT",
            "address_2": "SUITE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 OPTUM CIR",
            "address_2": "MN102-0600",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "952-205-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-08-08",
        "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 MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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, P.C.
• Optumrx, Inc. (FirstLine Benefits)
• Vali Orandi, MD
• Jon Hwang Ordner
• Pamela J. Orning
• Kingsley A Orraca-Tetteh, MD

• 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 8, 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.