OPTUM MEDICAL SERVICES, P.C. (NPI# 1629403696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629403696 |
| Entity Type | Organization |
| Organization Name | OPTUM MEDICAL SERVICES, P.C. |
| Practice Address |
7100 College Blvd Overland Park KS 66210-1862 |
| Practice Telephone | 2406835331 |
| Mailing Telephone | 2406835331 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |
| Authorized Official Name | RONALD SHUMACHER (PRESIDENT) |
| Authorized Official Telephone | 2406835331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093083289 | Optum Medical Services, P.C. | Preferred Provider Organization | 150 Fayetteville St, Box 1011, Raleigh, NC 27601-1395 | 2011-12-02 |
| 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 |
| Vermont Business Registrations | OPTUM MEDICAL SERVICES, P.C. | 9900 Bren Road East, Minnetonka, MN 55343 |
| Street Address |
7100 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730158056 | Lary Bocquin | Internal Medicine | 7100 College Blvd, Overland Park, KS 66210-1862 | 2006-03-17 |
| 1790293033 | Tracy Ann Newman | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2018-01-22 |
| 1104344498 | Tammy Lynn Weeks | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2017-09-06 |
| 1053842047 | Lisa Annette Cramer | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-6621 | 2017-03-22 |
| 1255746749 | Optum Medical Services, PC | Family Medicine | 7100 College Blvd, Overland Park, KS 66210-1862 | 2014-06-24 |
| 1104250596 | Optum Clinic, Pa | Clinic/Center | 7100 College Blvd, Overland Park, KS 66210-1862 | 2013-08-21 |
| 1992062798 | Patrick Norman Brummett | Nurse Practitioner | 7100 College Blvd, Overland Park, KS 66210-1862 | 2012-04-18 |
| 1710943857 | Dennis Kerry Katz | Neuromusculoskeletal Medicine & OMM | 7100 College Blvd, Overland Park, KS 66210 | 2006-04-26 |
| 1497716914 | Srinivas Nalamachu | Physical Medicine & Rehabilitation | 7100 College Blvd, Overland Park, KS 66210 | 2006-04-01 |
| 1124087861 | Mid-america Polyclinic Pa | Physical Medicine & Rehabilitation | 7100 College Blvd, Overland Park, KS 66210 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275588 | Careatc | Clinic/Center | 6700 College Blvd Ste 100, Overland Park, KS 66211-1525 | 2019-09-26 |
| 1477002467 | Careatc Qt Overland Park | Clinic/Center | 6700 College Blvd, Suite 100, Overland Park, KS 66211-1525 | 2016-10-02 |
| 1174924443 | Freedom Healthcare Concierge Medicine, LLC | Clinic/Center | 9934 College Blvd, Overland Park, KS 66210-1756 | 2014-09-05 |
| 1356640999 | Wellness Within Chiropractic Center, LLC | Clinic/Center | 6885 W 151st St, 102, Overland Park, KS 66223-2507 | 2011-03-22 |
| 1306089560 | Usimc of West Virginia Medical Corporation | Clinic/Center | 6400 Sprint Pkwy, Mailstop Ksophg0202, Overland Park, KS 66251-6107 | 2009-04-16 |
| 1609052463 | Medbasics Kansas LLC | Clinic/Center | 6900 W 135th St, Overland Park, KS 66223-4800 | 2008-01-10 |
| 1740341205 | Stanley Park Family Medicine LLC | Clinic/Center | 8631 W 150th St, Suite 101, Overland Park, KS 66223-2294 | 2006-12-12 |
| 1205850757 | Cira Maria Garcia-ferrer Md LLC | Clinic/Center | 10640 W 87th St, Overland Park, KS 66214-1651 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619528643 | Careatc | Clinic/Center | 7570 W 21st St N Bldg 1006, Wichita, KS 67205-1734 | 2019-09-20 |
| 1467910034 | Amanda Delise Huerta | Clinic/Center | 4134 Eaton St Apt 3, Kansas City, KS 66103-3345 | 2019-03-03 |
| 1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
| 1689157000 | Runyan Family Practice LLC | Clinic/Center | 520 S Holland St Ste 403, Wichita, KS 67209-2060 | 2018-09-11 |
| 1740781848 | Medlen Family Care | Clinic/Center | 115 W Peoria St, Paola, KS 66071-1411 | 2018-02-23 |
| 1417481078 | Salina Health Education Foundation | Clinic/Center | 142 S 7th St, Salina, KS 67401-7408 | 2017-04-20 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1093166803 | Topeka Consulting Physicians | Clinic/Center | 3520 Sw Alameda Dr, Topeka, KS 66614-5110 | 2016-06-23 |
| 1720445950 | Performance Health, Pa | Clinic/Center | 10111 E 21st St N Ste 315, Wichita, KS 67206-3581 | 2016-01-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.