OPTUM MEDICAL SERVICES PC (NPI# 1023409273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023409273 |
| Entity Type | Organization |
| Organization Name | OPTUM MEDICAL SERVICES PC |
| Practice Address |
5 Centerpointe Dr Lake Oswego OR 97035-8651 |
| Mailing Address |
1009 Windcross Ct Franklin TN 37067-2678 |
| Practice Telephone | 5037460048 |
| Mailing Telephone | 6152245440 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | RONALD SHUMACHER (OWNER) |
| Authorized Official Telephone | 2406835331 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629484209 | Optum Medical Services PC | Family Medicine | 69 S Valle Verde Road, Henderson, NV 89012 | 2014-07-03 |
| 1780090381 | Optum Medical Services PC | Family Medicine | 5060 S Fort Apache Rd, Suite 150, Las Vegas, NV 89148-1716 | 2014-07-03 |
| Street Address |
5 CENTERPOINTE DR |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-8651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841252335 | Tanya Lugliani Stewart | Internal Medicine | 5 Centerpointe Dr, Suite 600, Lake Oswego, OR 97035-8651 | 2006-04-03 |
| 1093314874 | Charise Lynne Monte | Nurse Practitioner | 5 Centerpointe Dr, Lake Oswego, OR 97035-8651 | 2020-10-22 |
| 1205382256 | The Cataract Vision Institute LLC | Clinic/Center | 5 Centerpointe Dr, Suite 390, Lake Oswego, OR 97035-8651 | 2016-08-30 |
| 1316394083 | Pacific Neuro Therapy | Physical Therapist | 5 Centerpointe Dr, Suite 400, Lake Oswego, OR 97035-8651 | 2016-05-23 |
| 1194197442 | Legacy Physiatry Group Oregon, LLC | Internal Medicine | 5 Centerpointe Dr, Ste 400, Lake Oswego, OR 97035-8651 | 2015-10-27 |
| 1639547094 | Paragon Health Services LLC | Psychiatry & Neurology | 5 Centerpointe Dr, Suite 400, Lake Oswego, OR 97035-8651 | 2015-09-02 |
| 1326439571 | Inspiris Services Company | Family Medicine | 5 Centerpointe Dr, Suite 600, Lake Oswego, OR 97035-8651 | 2015-02-10 |
| 1134542913 | Natalie Chvirov | Registered Nurse | 5 Centerpointe Dr, Lake Oswego, OR 97035-8651 | 2014-01-29 |
| 1700172012 | Julianne Westlake | Nurse Practitioner | 5 Centerpointe Dr, Suite 600, Lake Oswego, OR 97035-8651 | 2011-06-24 |
| 1518262013 | Christina Ann Bailey | Physician Assistant | 5 Centerpointe Dr, Suite 600, Lake Oswego, OR 97035-8651 | 2011-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033401674 | Keith Ian Linn | Psychologist | 2525 Nw Lovejoy, Ste. 401, Portland, OR 97210-2865 | 2011-05-13 |
| 1194738013 | Julie A Shafer | Psychologist | 4039 N Mississippi Ave, Suite 309, Portland, OR 97227-1476 | 2006-08-14 |
| 1962953554 | Shari Lynne Malago | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2016-10-18 |
| 1942681770 | Constance Newton | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2015-06-17 |
| 1588045413 | Kimberly Madden | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2015-06-16 |
| 1013342740 | Kelly Ann Flood | Psychologist | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2013-09-12 |
| 1043587041 | Veronica C Johnstone | Psychologist | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2011-11-19 |
| 1811293384 | Jackson County Mental Health | Psychologist | 1005 E Main St, Medford, OR 97504-7448 | 2011-02-01 |
| 1942501705 | Nicole Marie-poupeney Miller | Psychologist | 8495 Crater Lake Hwy, Bldg. 240 Rm 109 -mail Stop 116, White City, OR 97503 | 2010-11-10 |
| 1902061526 | Emily E York | Psychologist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2008-07-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on OPTUM MEDICAL SERVICES PC.
| 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.