KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC (NPI# 1083153696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083153696 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC |
| Other Organization Name | ABINGDON MEDICAL CENTER PHARMACY |
| Practice Address |
3400 Box Hill Corporate Center Dr Ste 100 Abingdon MD 21009-1261 |
| Mailing Address |
22370 Davis Dr Sterling VA 20164-5367 |
| Practice Telephone | 3108162424 |
| Mailing Telephone | 7034664800 |
| Mailing Fax Number | 7034664802 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | JOSEPH T BUTZ (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3018165867 |
| 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 | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Abingdon Medical Center Pharmacy | 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 |
3400 BOX HILL CORPORATE CENTER DR STE 100 |
| City | ABINGDON |
| State | MD |
| Zip Code | 21009-1261 |
| 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 |
| 1639618234 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 3400 Box Hill Corporate Center Dr, Ste 100, Abingdon, MD 21009-1261 | 2017-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033657986 | Cpdg,ab, LLC | Dentist | 3400 Box Hill Corporate Center Drive, Suite 120, Abingdon, MD 21009 | 2017-02-10 |
| 1356734230 | Pardis Parizadeh | Dentist | 3435 Box Hill Corporate Center Dr Ste E, Abingdon, MD 21009 | 2015-03-16 |
| 1033529391 | Ademola O Cole | Dentist | 3486 C Emmorton Road, Abingdon, MD 21009 | 2014-05-07 |
| 1144649336 | Troy Michael Englehart II | Contractor | 1401 Pulaski Higjway, F, Edgewood, MD 21009 | 2014-04-15 |
| 1376964726 | Jessica L Brinegar | Physical Therapist | 3465 Box Hill Corporate Center Dr Ste G, Abingdon, MD 21009 | 2014-01-01 |
| 1790024016 | Pamela S Baer | Psychologist | 3105 Emmorton Road, Abingdon, MD 21009 | 2013-02-06 |
| 1205028271 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 3491 Merchant Boulevard, Suite 108, Abingdon, MD 21009 | 2007-08-14 |
| 1306037627 | Jacquelin Landsman | Physical Therapist | Upper Chesapeake Orthopedics: Center for Sports Med, 101 Walter Ward Blvd, Abingdon, MD 21009 | 2007-08-05 |
| 1144373911 | Carol L Bowman | Internal Medicine | 3445 E Box Hill Corporate Center Drive, Abingdon, MD 21009 | 2007-01-18 |
| 1750467338 | Michael Kevin Block | Podiatrist | 3401 Box Hill Corporate Ctr Dr, Suite 201, Abingdon, MD 21009 | 2006-10-27 |
| Find all providers in zip 21009 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679888655 | Zonetak Healthcare And | Pharmacy | 10085 Red Run Blvd Ste 104, Owings Mills, MD 21117-4811 | 2010-08-13 |
| 1710045299 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 655 Watkins Mill Road, Gaithersburg, MD 20879-3323 | 2006-12-05 |
| 1215002258 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 7141 Security Boulevard, Baltimore, MD 21244-1811 | 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 |
| 1124366554 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2013-01-18 |
| 1194868422 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 7190 Crestwood Blvd, Frederick, MD 21703-7314 | 2007-02-15 |
| 1477618502 | Kaiser Permanente Frederick Med Ctr | Pharmacy | 7190 Crestwood Blvd, Frederick, MD 21703 | 2006-12-27 |
| 1518025071 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 4920 Campbell Boulevard, White Marsh, MD 21236-5916 | 2006-12-05 |
| 1871651349 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 1396 Piccard Drive, Rockville, MD 20850-4302 | 2006-12-05 |
| 1609934181 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 10810 Connecticut Avenue, Kensington, MD 20895-2138 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
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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.