Organization
OPTUM MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J. SHUMACHER M.D. (OWNER)
(240) 683-5331
Entity
Organization
Contact information
Practice address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(503) 746-0048
Mailing address
210 WESTWOOD PL STE 300, BRENTWOOD, TN 37027-7554
(615) 224-5440
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
246RP1900X
Phlebotomy Technician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/10/2015
Last updated
02/07/2024
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