KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1457999542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457999542 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. |
| Practice Address |
4920 Campbell Blvd Baltimore MD 21236-5916 |
| Practice Telephone | 4109337600 |
| Mailing Telephone | 4109337600 |
| 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 |
|---|---|
| White Marsh 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 |
| 1285272369 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 700 2nd St Ne, Washington, DC 20002-8100 | 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 |
4920 CAMPBELL BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275912925 | Joseph Francis Diblasi | Pharmacist | 4920 Campbell Blvd, Baltimore, MD 21236-5916 | 2015-05-28 |
| 1760895346 | Rosina Shrestha | Internal Medicine | 4920 Campbell Blvd, Baltimore, MD 21236-5916 | 2014-06-11 |
| 1013219211 | Kaiser Permanente | Health Maintenance Organization | 4920 Campbell Blvd, Kaiser Permanente, Baltimore, MD 21236 | 2010-11-22 |
| 1912209180 | Kim Brannan | Social Worker | 4920 Campbell Blvd, Kaiser Permanente, Baltimore, MD 21236-5916 | 2010-11-22 |
| 1578748653 | Mercedes Rita Terrell | Internal Medicine | 4920 Campbell Blvd, Baltimore, MD 21236-5916 | 2008-01-08 |
| 1700944071 | Paul Anthony Zilioli | Pediatrics | 4920 Campbell Blvd, Baltimore, MD 21236-5916 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1205346780 | Hmw Services, LLC | Clinic/Center | 5820 York Rd Ste 102, Baltimore, MD 21212-3619 | 2017-10-10 |
| 1497967327 | Maryland Physical Therapy Group, Inc. Ta Mid-towne Medical Group, Inc. | Clinic/Center | 11 E Mount Royal Ave, The Towne Bldg Lower Level, Baltimore, MD 21202-2714 | 2007-05-04 |
| 1871103481 | Davids Loft Center for Somatic and Behavioral Healthcare | Clinic/Center | 2641 Maryland Ave, Baltimore, MD 21218-4518 | 2020-08-07 |
| 1235760257 | Angel Hands Behavioral Health | Clinic/Center | 6600 York Rd Ste 207, Baltimore, MD 21212-2027 | 2020-01-29 |
| 1447898531 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-12-19 |
| 1043791122 | Debobeth Medical Center | Clinic/Center | 3107 Erdman Ave, Baltimore, MD 21213-1719 | 2018-08-27 |
| 1144714536 | Sweet Air Acupuncure | Clinic/Center | 4803 Yellowwood Ave, Baltimore, MD 21209-4622 | 2018-06-19 |
| 1902318124 | Angel Hands Healthcare Services, LLC | Clinic/Center | 6600 York Rd Ste 207, Baltimore, MD 21212-2024 | 2017-10-27 |
| 1194279356 | Bnj Counseling Services, LLC | Clinic/Center | 2701 Washington Blvd, Baltimore, MD 21230-1410 | 2016-08-05 |
| 1689042541 | Jr Health Care Associates, LLC | Clinic/Center | 2310 N Charles St, Baltimore, MD 21218-5127 | 2015-09-09 |
| Find all providers in BALTIMORE | ||||
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.