KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1578681623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578681623 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. |
| Other Organization Name | KAISER PERMANENTE BALTIMORE HARBOR MEDICAL CENTER |
| Practice Address |
815 E Pratt St Baltimore MD 21202-4402 |
| Mailing Address |
2101 E Jefferson St Rockville MD 20852-4908 |
| Practice Telephone | 4106375700 |
| Practice Fax Number | 4106375701 |
| Mailing Telephone | 3018167446 |
| Mailing Fax Number | 3018167170 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-11-02 |
| 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 | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Baltimore Harbor Medical Center | 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 |
| 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 |
| 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 |
815 E PRATT ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1427690809 | Aweke Yilma Dubi | Nurse Practitioner | 815 E Pratt St, Baltimore, MD 21202-4889 | 2019-10-17 |
| 1457713331 | Justin Capasso | Family Medicine | 815 E Pratt St, Baltimore, MD 21202 | 2016-03-22 |
| 1699119800 | Rachel Bernice Hope | Family Medicine | 815 E Pratt St, Baltimore, MD 21202-4402 | 2013-04-18 |
| 1508932484 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 815 E Pratt St, Baltimore, MD 21202-4402 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490242 | Angels Healthcare Services LLC | Health Maintenance Organization | 1828 Hanford Rd, Baltimore, MD 21237-1744 | 2020-05-29 |
| 1346796885 | Community First Health Care Services Company, LLC | Health Maintenance Organization | 610 N Linwood Ave, Baltimore, MD 21205-2707 | 2016-08-25 |
| 1386036499 | Valerie Mabry | Health Maintenance Organization | 5627 Arnhem Rd, Baltimore, MD 21206-2924 | 2015-02-26 |
| 1679914238 | Total Health Care | Health Maintenance Organization | 2401 Liberty Heights Ave Ste 111, Baltimore, MD 21215-8019 | 2013-07-11 |
| 1346539038 | Reality Resource Group of Maryland, Inc. | Health Maintenance Organization | 3017 Garrison Blvd, Baltimore, MD 21216-1302 | 2011-04-04 |
| 1649595919 | Hcfm LLC | Health Maintenance Organization | 2900 Boarman Ave, Baltimore, MD 21215-6610 | 2010-03-30 |
| 1912905449 | Totalhealthcare | Health Maintenance Organization | 1501 W Saratoga St, Baltimore, MD 21223-1749 | 2005-07-08 |
| 1730532300 | Maryland Ear Nose and Throat Center, LLC | Health Maintenance Organization | 200 E 33rd St, Baltimore, MD 21218-3322 | 2016-07-19 |
| 1689078057 | Audacity of Hope Behavioral Health LLC | Health Maintenance Organization | 2211 Maryland Ave, Baltimore, MD 21218-5627 | 2014-10-14 |
| 1073931374 | Hope Health Systems, Inc | Health Maintenance Organization | 6707 Whitestone Rd, Suite 106, Baltimore, MD 21207-4106 | 2014-04-03 |
| Find all providers in BALTIMORE | ||||
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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.