Organization
OPTUM CARE SERVICES COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J SHUMACHER MD (CMO)
(443) 492-5199
Entity
Organization
Contact information
Practice address
10175 LITTLE PATUXENT PKWY FL 6, COLUMBIA, MD 21044-2655
(410) 379-3522
Mailing address
210 WESTWOOD PL STE 300, BRENTWOOD, TN 37027-7554
(615) 224-5438
(855) 247-8787
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
—
—
207QA0505X
Adult Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/17/2007
Last updated
08/15/2024
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