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OPTUM MEDICAL SERVICES PC NPI 1053721779


NPI Information

NPI: 1053721779
Provider Name: OPTUM MEDICAL SERVICES, PC

Doing Business As: OPTUM CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D2097857

Address:
6860 W 115TH ST
OVERLAND PARK INTERNATIONAL TRADE
OVERLAND PARK, KS
ZIP 66211
Phone: (800) 645-9656
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OPTUM MEDICAL SERVICES, PC is a family medicine in Overland Park, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OPTUM MEDICAL SERVICES, PC NPI is 1053721779. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optum Clinic.

The provider's business location address is:

6860 W 115TH ST
OVERLAND PARK INTERNATIONAL TRADE
OVERLAND PARK, KS
ZIP 66211-457
Phone: (800) 645-9656

The provider's authorized official is Ronald Shumacher .
The authorized official title is Owner and has the following contact phone number (240) 683-5331.

The CLIA number assigned to this NPI record is 17D2097857 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2014 and was last updated on 5/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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