KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.


Address: 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301
Phone: 2406324000

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1295373371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295373371
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
Practice Address 655 Watkins Mill Rd
Gaithersburg
MD 20879-3301
Practice Telephone 2406324000
Mailing Telephone 2406324000
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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service 		Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Gaithersburg Medical Center DPP Doing Business As Name - Organization

Other Provider IDs and Locations

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
1285272369 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 700 2nd St Ne, Washington, DC 20002-8100 2019-12-19
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

Other Data Sources

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

Office Location

Street Address 655 WATKINS MILL RD
City GAITHERSBURG
State MD
Zip Code 20879-3301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629048467 Julie May Chen Internal Medicine 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2006-01-24
1376142315 Helen Gebereselassie Gamada Nurse Practitioner 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2020-10-21
1043848526 Scott Eric Jackson Radiologic Technologist 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2020-03-30
1972130524 Huai En Chang Student in an Organized Health Care Education/Training Program 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2020-03-24
1477189322 Sushmita Malik Student in an Organized Health Care Education/Training Program 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2020-03-22
1316573314 Crystal Xue Student in an Organized Health Care Education/Training Program 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2020-03-21
1144856287 Daniel Tadeo Student in an Organized Health Care Education/Training Program 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2020-03-20
1659902963 Susan Marie Jagt Radiology 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2020-01-27
1497306971 Claudia Priscilla Derse-anthony Registered Nurse 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2019-09-25
1033760160 Ilyssa Karen Haar Registered Nurse 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 2019-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565688 Mark Schulze Behavior Technician 20620 Prathertown Rd., Gaithersburg, MD 20879 2020-10-12
1497242705 Ajena Callaway Occupational Therapist 354 A Christopher Avenue, Gaithersburg, MD 20879 2018-04-23
1952702789 Alan Huang Physical Therapist 18603 Tribble Way, Gaithersburg, MD 20879 2014-09-11
1225452089 Benefitcare Inc. Home Health 18211d Flower Hill Way, Gaithersburg, MD 20879 2014-02-13
1578832739 Thomas Yoon Dentist 20219 Goshen Rd, Gaithersburg, MD 20879 2011-12-17
1962637090 Team Care, LLC Non-emergency Medical Transport (VAN) 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 2009-05-19
1730327412 Maryland Home Health, LLC Home Health 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 2009-02-03
1528223740 Behzad Mirdamadi Dentist 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 2008-07-28
1265696322 Nargess Mirhakkak Biparva Dentist 941 B Russell Ave, Gaithersburg, MD 20879 2008-07-17
1891818639 Carolyn June Figard Counselor 933 Russess Ave., Suite D, Gaithersburg, MD 20879 2007-04-09
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780171579 Maryland Injury Clinics Clinic/Center 4 Park Ave Ste 250, Gaithersburg, MD 20877-2893 2018-04-17
1679831770 Saga Medical Inc Clinic/Center 847 Quince Orchard Blvd Ste D, Gaithersburg, MD 20878-1677 2012-04-26
1376092676 Occupational Health Centers of The Southwest Pa Clinic/Center 803 Russell Ave, Gaithersburg, MD 20879-3584 2016-09-27
1881096261 Professional Services of Holy Cross Clinic/Center 201 Russell Ave, Gaithersburg, MD 20877-2800 2014-09-17
1437567484 Sunflower Health & Wellness Consultants Clinic/Center 501 N Frederick Ave, Suite 320, Gaithersburg, MD 20877-2545 2014-07-22
1154766939 Holy Cross Health Centers Clinic/Center 702 Russell Ave, Gaithersburg, MD 20877-2606 2013-05-07

Providers in the same taxonomy and state

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1114526696 Alive & Well Company Clinic/Center 400 Warfield Dr, Hyattsville, MD 20785-4584 2020-10-26
1487252714 Restore Healthcare Services Clinic/Center 15017 Northcote Ln, Bowie, MD 20716-1044 2020-10-09
1932712254 Covenant Cosmetic & Wellness Center Clinic/Center 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 2020-08-26
1679191290 Ez Health Resources, LLC Clinic/Center 13119 Piney Meetinghouse Rd, Potomac, MD 20854-6350 2020-07-09
1962027052 Tammy Senn, LLC Clinic/Center 2996 Hobbs Rd, Glenwood, MD 21738-9731 2020-06-15
1548885346 Doris Collaborative Family Practice, LLC Clinic/Center 7671 Mandrake Ct Unit 222, Elkridge, MD 21075-7995 2020-06-08
1205457124 Mark Johnson, Md, PC Clinic/Center 10801 Lockwood Dr Ste 285, Silver Spring, MD 20901-1556 2020-05-01
1548894314 Isinc Healthcare Services, LLC Clinic/Center 229 Washington Blvd S, Laurel, MD 20707-4615 2020-03-02
1821648312 Capital Multi Health Group, Inc Clinic/Center 2411 Crofton Ln Ste 4a, Crofton, MD 21114-1337 2019-09-17
1396395166 Farr Out Eyecare LLC Clinic/Center 820 Market St, Westminster, MD 21157-6114 2019-09-13
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Competitor

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City GAITHERSBURG
Zip Code 20879

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Dataset Information

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.

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