Optima Health, PSC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

03286 Issued in KY

Legal business name

OPTIMA HEALTH, PSC

Practice address

138 Campbellsville Byp
Suite 5
Campbellsville, KY 42718-8843

Phone

(270) 283-4638

Fax

(270) 283-4639

NPI assigned

Feb 27, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn S Harris, D.ONPI 1831214287

Title

President

Phone

(270) 283-4638

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn S Harris, DO

  • Nuclear Imaging & Therapy Physician
  • Lexington, KY
  • NPI 1831214287
  NPD (past) Authorized official
• Stacey C Greenwell-Osborne

  • Family Nurse Practitioner
  • Bardstown, KY
  • NPI 1356809768
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1811437726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CAMPBELLSVILLE BYP",
            "address_2": "SUITE 5",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188843",
            "telephone_number": "270-283-4638",
            "fax_number": "270-283-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CAMPBELLSVILLE BYP",
            "address_2": "SUITE 5",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188843",
            "telephone_number": "270-283-4638",
            "fax_number": "270-283-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-283-4638",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KY",
            "license": "03286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100193450",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy M Nunn
• Adedoyin Okulate, MD
• One Cross Community, Inc.
• One Cross Health Clinic Inc
• Optima Health, PSC
• Orthodyne, LLC
• Orthodyne, LLC
• Orthodyne, LLC
• Kim R Osbourn, OT
• Jasmine S Overfelt

• Health Service Clinic/Center in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Health Service Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.