KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC (NPI# 1023183068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023183068 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC |
| Other Organization Name | WOODBRIDGE MEDICAL CENTER LABORATORY |
| Practice Address |
14139 Potomac Mills Road Woodbridge VA 22192-4644 |
| Mailing Address |
2101 E Jefferson Street 3 West Kaiser Permanente Data Mangement Department Rockville MD 20852-4908 |
| Practice Telephone | 7034908400 |
| Practice Fax Number | 7034907794 |
| Mailing Telephone | 3018167446 |
| Mailing Fax Number | 3018167170 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | DEANNE G PETERSEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3018165760 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Woodbridge Medical Center Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971873 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Health Maintenance Organization | 3400 Box Hill Corporate Center Dr, Stes 100 & 200, Abingdon, MD 21009-9998 | 2017-02-15 |
| 1043378656 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Psychologist | 10 Hopkins Plaza, Baltimore, MD 21201-2902 | 2006-12-05 |
| 1740355684 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 815 E Pratt St, Baltimore, MD 21202-4402 | 2006-11-22 |
| 1902971849 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 1396 Piccard Drive, Rockville, MD 20850-4302 | 2006-11-22 |
| 1497820435 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 6501 Loisdale Road, Springfield, VA 22150-1845 | 2006-11-22 |
| 1013082957 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 8028 Richie Highway, Pasadena, MD 21222-1030 | 2006-11-22 |
| 1346315280 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 4920 Campbell Boulevard, Baltimore, MD 21236-5916 | 2006-11-22 |
| 1003981945 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 7070 Samuel Morse Drive, Columbia, MD 21046-3405 | 2006-11-22 |
| 1720153661 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 12201 Plum Orchard Drive, Silver Spring, MD 20910-7803 | 2006-11-22 |
| 1033658521 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 | 2017-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | 1 Kaiser Plz, Oakland, CA 94612-3610 |
| Street Address |
14139 POTOMAC MILLS ROAD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447224167 | Bethanne K Miller | Obstetrics & Gynecology | 14139 Potomac Mills Road, Kaiser Permanente Woodbridge Center, Woodbridge, VA 22192-4644 | 2006-02-17 |
| 1235496811 | Ebony Makeda Richards | Pediatrics | 14139 Potomac Mills Road, Pediatrics, Woodbridge, VA 22192 | 2012-04-19 |
| 1265577753 | Deepshikha Goyal | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192 | 2007-02-21 |
| 1013062926 | Lisa A Pauls | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192 | 2007-01-24 |
| 1689724437 | David Alan Dickey | Nurse Practitioner | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2007-01-12 |
| 1033269790 | Herbert Norman Furst | Optometrist | 14139 Potomac Mills Road, Woodbridge, VA 20192-4644 | 2007-01-12 |
| 1962569996 | Stuart Q Hopkins | Internal Medicine | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2007-01-02 |
| 1881759124 | Cynthia L Heins | Internal Medicine | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2006-12-27 |
| 1295895746 | Clementina F Battad | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2006-12-12 |
| 1366503708 | Douglas Kiessling | Optometrist | 14139 Potomac Mills Road, Woodbridge, VA 20192-4644 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (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. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326491184 | Mega Protect Services LLC | Clinical Medical Laboratory | 1950 Opitz Blvd # 2, Woodbridge, VA 22191-3304 | 2016-07-18 |
| 1477934727 | Potomac Healthcare Solutions, LLC | Clinical Medical Laboratory | 1549 Old Bridge Rd Ste 201, Woodbridge, VA 22192-2737 | 2015-06-12 |
| 1619194495 | Pathology & Laboratory Services, LLC | Clinical Medical Laboratory | 11 Research Dr, Suite 4, Woodbridge, CT 06525-2348 | 2007-04-20 |
| 1689629255 | Professional Healthcare Group | Clinical Medical Laboratory | 5504 Staples Mill Plz, Woodbridge, VA 22193-3247 | 2006-05-23 |
| 1205272622 | Laboratory Corporation of America | Clinical Medical Laboratory | 2022 Opitz Blvd, Woodbridge, VA 22191-3323 | 2013-05-13 |
| 1932479516 | Woodbridge Cardiovascular Center | Clinical Medical Laboratory | 14904 Jefferson Davis Hwy, Suite101, Woodbridge, VA 22191-3908 | 2012-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588074 | Vital Healthcare, LLC | Clinical Medical Laboratory | 3825 Lamplighter Ct, Portsmouth, VA 23703-2271 | 2020-11-03 |
| 1942809934 | Labmd2, Inc | Clinical Medical Laboratory | 20804 Edds Ln, Potomac Falls, VA 20165-7904 | 2020-10-21 |
| 1366040917 | Ikare Renal Solutions LLC | Clinical Medical Laboratory | 8534 Ashington Way, Williamsburg, VA 23188-6647 | 2020-10-15 |
| 1649878364 | Iqgenetix LLC | Clinical Medical Laboratory | 11100 Endeavor Ct Ste 137, Manassas, VA 20109-4027 | 2020-10-14 |
| 1437756525 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 109 Bridge St Ste 101, Danville, VA 24541-1222 | 2020-10-02 |
| 1205445491 | Fairfax Medical Lab LLC | Clinical Medical Laboratory | 4221 Walney Rd Ste 401a, Chantilly, VA 20151-2987 | 2020-07-24 |
| 1659900348 | Microgen Health, Inc | Clinical Medical Laboratory | 14225 Sullyfield Cir Ste E, Chantilly, VA 20151-1688 | 2020-04-03 |
| 1750923520 | Metropolitan Laboratory Services Inc | Clinical Medical Laboratory | 12011 Lee Jackson Memorial Hwy Ste 200, Fairfax, VA 22033-3310 | 2019-10-14 |
| 1346881067 | Zenith Diagnostics, Inc. | Clinical Medical Laboratory | 13042 Rivers Bend Road, Chester, VA 23836-2383 | 2019-10-03 |
| 1952962482 | Accurate Medical Lab Inc | Clinical Medical Laboratory | 3927 Old Lee Hwy Ste 102d, Fairfax, VA 22030-2422 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
| 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.