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NPI Code Detail

MEDICARE: OPTUM CARE SERVICES COMPANY

MEDICARE: OPTUM CARE SERVICES COMPANY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant
2163WG0600XGerontology Registered Nurse
3207QA0505XAdult Medicine Physician
4363A00000XPhysician Assistant
5363L00000XNurse Practitioner
6363LA2100XAcute Care Nurse Practitioner
7363LP2300XPrimary Care Nurse Practitioner
8363LA2200XAdult Health Nurse Practitioner
9363LG0600XGerontology Nurse Practitioner
10363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1912199415
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTUM CARE SERVICES COMPANY
Provider Business Mailing Address
First Line : 210 WESTWOOD PL STE 300
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-7554
Country : US
Telephone Number : 615-224-5438
Fax Number : 855-247-8787
Provider Business Practice Location Address
First Line : 10175 LITTLE PATUXENT PKWY FL 6
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2655
Country : US
Telephone Number : 410-379-3522
Fax Number :
Authorized Official
Title or Position : CMO
Name : DR. RONALD J SHUMACHER
Credential : MD
Telephone Number : 443-492-5199
Provider Enumeration Date : 08/17/2007
Last Update Date : 08/15/2024

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Directions to “OPTUM CARE SERVICES COMPANY ” Practice Location

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