Provider Demographics
NPI:1871294157
Name:HEALTH OPTIMIZATION, LLC
Entity type:Organization
Organization Name:HEALTH OPTIMIZATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHUMWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-023-4125
Mailing Address - Street 1:1155 S POWER RD
Mailing Address - Street 2:SUITE 114PMB398
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3716
Mailing Address - Country:US
Mailing Address - Phone:520-502-3412
Mailing Address - Fax:
Practice Address - Street 1:1155 S POWER RD
Practice Address - Street 2:SUITE 114PMB398
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3716
Practice Address - Country:US
Practice Address - Phone:520-502-3412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty