Optimus Senior Health Consultants, PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

OPTIMUS SENIOR HEALTH CONSULTANTS, PLLC

Practice address

4444 Woodland Park Ave N Unit B101
Seattle, WA 98103-7549

Phone

(206) 317-1956

Fax

(206) 299-4618

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By 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. Eric Jon Headings Troyer, MDNPI 1972509933

Title

Ceo

Phone

(206) 317-1896

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Caroline Kline Galland Home

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1407863475

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 6

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.

• Eric Jon Headings Troyer, M.D., C.M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Seattle, WA
  • NPI 1972509933
  Medicare reassignment NPD Authorized official
• Olivia Bordiuk, ARNP

  • Adult Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1639784259
  Medicare reassignment NPD
• Andrew Grossman, ARNP

  • Adult Health Nurse Practitioner
  • Seattle, WA
  • NPI 1134483266
  Medicare reassignment NPD
• James S Lin, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Seattle, WA
  • NPI 1235316712
  Medicare reassignment NPD
• Hsing-Wen Wang, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1124803663
  Medicare reassignment NPD
• Kim Hoang Vu

  • Geriatric Medicine (Family Medicine) Physician
  • Pomona, CA
  • NPI 1003443649

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1407586456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 GREENWOOD AVE N # 526",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034627",
            "fax_number": "206-299-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 WOODLAND PARK AVE N UNIT B101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037549",
            "telephone_number": "206-317-1956",
            "fax_number": "206-299-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS SENIOR HEALTH CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JON HEADINGS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-317-1896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optum Care Washington PLLC
• Optum Medical Services

• Geriatric Medicine (Family Medicine) Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Geriatric Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.