OPTUM MEDICAL SERVICES, P.C. (NPI# 1093083289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093083289 |
| Entity Type | Organization |
| Organization Name | OPTUM MEDICAL SERVICES, P.C. |
| Practice Address |
150 Fayetteville St Box 1011 Raleigh NC 27601-1395 |
| Mailing Address |
150 Fayetteville St Box1011 Raleigh NC 27601-1395 |
| Practice Telephone | 9529177217 |
| Mailing Telephone | 9529177217 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | MR. KIRK M STANLEY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6155235572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629403696 | Optum Medical Services, P.C. | Clinic/Center | 7100 College Blvd, Overland Park, KS 66210-1862 | 2013-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OPTUM MEDICAL SERVICES, P.C. | 9900 Bren Road East, Minnetonka, MN 55343 |
| Washington State Corporations | OPTUM MEDICAL SERVICES, P.C. | 9900 Bren Road East, Minnetonka, MN 55343 |
| Massachusetts Corporations | OPTUM MEDICAL SERVICES, P.C. | 9900 Bren Rd., E., Minnetonka, MN 55343 |
| Connecticut Business Registrations | OPTUM MEDICAL SERVICES, P.C. | 9900 Bren Road East, Minnetonka, MN 55343 |
| Ohio Business Entities | OPTUM MEDICAL SERVICES, P.C. | 150 Fayetteville Street, Box 1011, Raleigh, NC 27601 |
| Oklahoma Business Registrations | OPTUM MEDICAL SERVICES, P.C. | 9900 Bren Road E, Minnetonka, MN 55343 |
| Indiana Business Entities | OPTUM MEDICAL SERVICES, P.C. | 9900 Bren Rd E, Hopkins, MN 55343 |
| Street Address |
150 FAYETTEVILLE ST BOX 1011 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27601-1395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
| 1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| Find all providers in zip 27601 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1376972448 | Ifcs | Preferred Provider Organization | 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604-6445 | 2013-11-08 |
| 1164779468 | Roj Mental Health and Substance Abuse Services | Preferred Provider Organization | 312 W Millbrook Rd, Raleigh, NC 27609-4389 | 2012-08-07 |
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| 1013362284 | Better Communities | Preferred Provider Organization | 2149 Valleygate Dr Ste 101, Fayetteville, NC 28304-3666 | 2016-04-25 |
| 1427411339 | Jordan C Poole | Preferred Provider Organization | 9 English Ivy Rd, Asheville, NC 28806-5514 | 2016-03-30 |
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| 1902236961 | Enhancement Health Care, Inc. | Preferred Provider Organization | 2801 Darrow Rd, Durham, NC 27704-2417 | 2013-11-12 |
| 1043646052 | Comfort Zone In-home Healthcare | Preferred Provider Organization | 2400 Wilkes St, High Point, NC 27260-8272 | 2013-09-23 |
| 1255779161 | Mitzi Elaine Phillips | Preferred Provider Organization | 6985 Nuggett Dr, Morganton, NC 28655-7994 | 2013-06-13 |
| 1669712063 | Neogenesis Foundation | Preferred Provider Organization | 3959 Sterling Pointe Dr, Winterville, NC 28590-5800 | 2013-02-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.