KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1285272369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285272369 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. |
| Practice Address |
700 2nd St Ne Washington DC 20002-8100 |
| Practice Telephone | 2023463000 |
| Mailing Telephone | 2023463000 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | MR. 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 | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Capitol Hill Medical Center DPP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574833 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 4400 Forbes Blvd, Lanham, MD 20706-4447 | 2020-03-25 |
| 1215058326 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Health Maintenance Organization | 12255 Fair Oaks Pkwy, Fairfax, VA 22033-3952 | 2007-04-03 |
| 1285752121 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Health Maintenance Organization | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 | 2007-03-27 |
| 1417075318 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Health Maintenance Organization | 7190 Crestwood Boulevard, Frederick, MD 21703-7314 | 2007-03-27 |
| 1699833202 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinical Medical Laboratory | 6625 Belcrest Highway, Hyattsville, MD 20782-2003 | 2006-12-05 |
| 1457999542 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 4920 Campbell Blvd, Baltimore, MD 21236-5916 | 2019-12-19 |
| 1689212763 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 201 N Washington St, Falls Church, VA 22046-4518 | 2019-12-19 |
| 1659919744 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2019-12-19 |
| 1710525803 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | 2019-12-19 |
| 1447898531 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-12-19 |
| 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 |
700 2ND ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114996 | Piyapong Vongkovit | Internal Medicine | 700 2nd St Ne, Washington, DC 20002-8100 | 2005-06-16 |
| 1225640907 | Hycenta Ndosoh Halle | Registered Nurse | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-08-23 |
| 1568083822 | Michelle Yeung | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-04-28 |
| 1285253138 | Seth A Keating | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-04-10 |
| 1982231460 | Kiana Deneen Mack | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-03-25 |
| 1033693767 | Jewell J Reddick | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2018-09-19 |
| 1720594997 | Nathan Redington | Physical Therapist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-12-23 |
| 1558875765 | Sheryl Lynn Canlas | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-11-27 |
| 1114456092 | Jacinda Thieu-tran Tran | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-06-05 |
| 1487182762 | Louis Ledan | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484569 | Curative Labs Inc. | Clinical Medical Laboratory | 3330 New York Ave Ne, Washington, DC 20002 | 2020-07-07 |
| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863923 | Sunshine Community Health and Wellness Outreach Center | Clinic/Center | 1817 W Virginia Ave Ne, Washington, DC 20002-1827 | 2020-08-25 |
| 1235640707 | Universal Wellness Practitioners, Pllc | Clinic/Center | 830 Otis Pl Nw, Washington, DC 20010-1516 | 2017-10-23 |
| 1932653706 | Alphaedge, LLC. | Clinic/Center | 811 44th St Ne, Washington, DC 20019-3637 | 2016-08-10 |
| 1700296225 | Rafel Dwaine Rieves | Clinic/Center | 1907 New Hampshire Ave Nw, Nw, Washington, DC 20009-3309 | 2014-05-06 |
| 1972845485 | Sam Medical Center of America Pllc | Clinic/Center | 2141 K St Nw Ste 607, Washington, DC 20037-1810 | 2013-03-22 |
| 1912201617 | Liberte Acupuncture, P.C. | Clinic/Center | 1221 Connecticut Ave Nw Ste 5b, Washington, DC 20036-2607 | 2011-01-10 |
| 1689806556 | Aids Healthcare Foundation | Clinic/Center | 2141 K St Nw Ste 707, Washington, DC 20037-1810 | 2009-08-11 |
| 1780839928 | Simmons Chiropractic LLC | Clinic/Center | 1874 Highway A Ste 210, Washington, MO 63090-6448 | 2008-12-01 |
| 1073778122 | Washington Chiropractic, LLC | Clinic/Center | 5008 Connecticut Ave Nw, Washington, DC 20008-2063 | 2008-07-28 |
| 1952924698 | District Healthcare Services, LLC | Clinic/Center | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2020-05-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
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.