Organization
OPTUM MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD SHUMACHER MD (PRESIDENT)
(240) 683-5331
Entity
Organization
Contact information
Practice address
475 KILVERT ST, SUITE 310, WARWICK, RI 02886-1379
(401) 732-7172
Mailing address
9800 HEALTH CARE LN, MINNETONKA, MN 55343-4542
(615) 224-5440
(855) 249-6092
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
246RP1900X
Phlebotomy Technician
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
Other
Enumeration date
01/15/2015
Last updated
11/02/2016
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