OPTUM MEDICAL SERVICES, PC (NPI# 1124494273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124494273 |
Entity Type | Organization |
Organization Name | OPTUM MEDICAL SERVICES, PC |
Practice Address |
351 W Camden St Suite 100 Baltimore MD 21201-7912 |
Practice Telephone | 4106252200 |
Enumeration Date | 2015-08-12 |
Last Update Date | 2015-08-12 |
Authorized Official Name | RONALD SHUMACHER (DIRECTOR) |
Authorized Official Telephone | 2406835331 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144769241 | Optum Medical Services, PC | Nurse Practitioner | 11020 Optum Cir, Mn102-0600, Eden Prairie, MN 55344-2503 | 2017-02-22 |
1861881708 | Optum Medical Services, PC | Technician, Pathology | 475 Kilvert St, Suite 310, Warwick, RI 02886-1379 | 2015-01-15 |
1255746749 | Optum Medical Services, PC | Family Medicine | 7100 College Blvd, Overland Park, KS 66210-1862 | 2014-06-24 |
1053721779 | Optum Medical Services, PC | Family Medicine | 6860 W 115th St, Overland Park International Trade, Overland Park, KS 66211-2457 | 2014-05-02 |
Street Address |
351 W CAMDEN ST SUITE 100 |
City | BALTIMORE |
State | MD |
Zip Code | 21201-7912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497816292 | Maria Maniscalco | Pharmacist | 351 W Camden St, Suite 100, Baltimore, MD 21201-7912 | 2006-12-13 |
1669919643 | Vascular Institute of Maryland, LLC | Radiology | 351 W Camden St, Suite 201, Baltimore, MD 21201-7912 | 2017-01-27 |
1336592112 | Lauren King | Occupational Therapist | 351 W Camden St, 5th Floor, Baltimore, MD 21201-7912 | 2016-07-18 |
1891157673 | University of Maryland Orthopaedics Associates, P.a. | Orthopaedic Surgery | 351 W Camden St, Suite 501, Baltimore, MD 21201-7912 | 2016-03-22 |
1023484177 | Optum Medical Services of California, PC | Nurse Practitioner | 351 W Camden St, Suite 100, Baltimore, MD 21201-7912 | 2015-08-12 |
1932580693 | Tylette Luz Santana | Nurse Practitioner | 351 W Camden St, Baltimore, MD 21201-7912 | 2015-06-17 |
1487034666 | Nicole Moncrieffe | Nurse Practitioner | 351 W Camden St, Baltimore, MD 21201-7912 | 2015-06-03 |
1205214657 | Michael J Cote | Nurse Practitioner | 351 W Camden St, Baltimore, MD 21201-7912 | 2015-05-18 |
1265810212 | Brielle Reineck | Nurse Practitioner | 351 W Camden St, Baltimore, MD 21201-7912 | 2015-05-11 |
1427445691 | Ann Sayers | Nurse Practitioner | 351 W Camden St, Baltimore, MD 21201-7912 | 2015-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
Find all providers in zip 21201 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962000679 | Laly Sorto | Nurse Practitioner | 923 S Curley St, Baltimore, MD 21224-4825 | 2020-10-14 |
1093312209 | Shelby Bruno | Nurse Practitioner | 29 S Greene St Fl 2, Baltimore, MD 21201-1504 | 2020-10-01 |
1558996520 | Mercy Olunma Ejikemeh | Nurse Practitioner | 4625 Riddle Dr, Baltimore, MD 21236-5702 | 2020-03-10 |
1215599170 | Shannon Joan Carroll | Nurse Practitioner | 1448 Richardson St, Baltimore, MD 21230-5322 | 2019-07-01 |
1871074096 | Debobeth Medical Center | Nurse Practitioner | 3107 Erdman Ave, Baltimore, MD 21213-1719 | 2018-08-25 |
1558853747 | Jackline Ukadike | Nurse Practitioner | 650 S Exeter St, Baltimore, MD 21202-4573 | 2018-06-04 |
1881183283 | Rosanna Thy Dinh | Nurse Practitioner | 419 W Redwood St Ste 330, Baltimore, MD 21201-7003 | 2018-05-02 |
1992219885 | Josie Dantzler | Nurse Practitioner | 405 N Paca St Fl 1, Baltimore, MD 21201-1815 | 2017-11-30 |
1306358908 | Gina Lynne Murray | Nurse Practitioner | 4102 Chardel Rd Apt 3f, Baltimore, MD 21236-5463 | 2017-11-04 |
1114440468 | Abigale Ann Celotto | Nurse Practitioner | 22 S Greene St # G7k22, Baltimore, MD 21201-1544 | 2017-07-19 |
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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.