Active NPI
Optum Telemed, Inc.
- Durable Medical Equipment & Medical Supplies
- Albany, GA
National Provider Identifier
1801451919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OPTUM TELEMED, INC.
- Practice address
- 2021 N Slappey Blvd Ste 203
Albany, GA 31701-1001 - Phone
- (800) 679-2932
- NPI assigned
- May 3, 2019
- 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
- Juan Buitrago
- Title
- Ceo
- Phone
- (800) 679-2932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2021 N Slappey Blvd Ste 203
Albany, GA 31701-1001
Mailing address
2021 N Slappey Blvd Ste 203
Albany, GA 31701-1001
National Provider Directory
National Provider DirectoryLocations
2021 N Slappey Blvd
Albany, GA 31701
Phone (800) 206-4904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556841600000",
"number": "1801451919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 N SLAPPEY BLVD STE 203",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N SLAPPEY BLVD STE 203",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011001",
"telephone_number": "800-679-2932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM TELEMED, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-03",
"last_updated": "2019-05-03",
"status": "A",
"authorized_official_last_name": "BUITRAGO",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-679-2932"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.