KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1659919744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659919744 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. |
| Practice Address |
6501 Loisdale Ct Springfield VA 22150-1826 |
| Practice Telephone | 7039221000 |
| Mailing Telephone | 7039221000 |
| 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 |
|---|---|
| Springfield 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 |
| 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 |
| 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 |
6501 LOISDALE CT |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22150-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580472 | Amy K Reddy | Pediatrics | 6501 Loisdale Ct, Pediatrics 8th Floor, Springfield, VA 22150-1826 | 2005-09-29 |
| 1093321143 | Omar Taherian | Pharmacy Technician | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-09-23 |
| 1740802263 | Linda Pien | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-05-07 |
| 1477181949 | Tekia Edwards | Pharmacy Technician | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-03-31 |
| 1518595271 | Frances N Ogbankwa | Pharmacy Technician | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-03-30 |
| 1629606520 | Karen Rivera | Pharmacy Technician | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-03-28 |
| 1538797592 | Blanca M Fernandez Torrez | Pharmacy Technician | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-03-27 |
| 1376170373 | Nickeila Sherae Murph | Pharmacy Technician | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-03-27 |
| 1366079360 | Sadaf Waffi | Pharmacy Technician | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-03-27 |
| 1063070449 | Thao Vo | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086946 | Karla Maria Bonilla Chico | Dentist | Privada Monte Everest 1982-14, Residencial La Cuspide, Tijuana, BAJA CALIFORNIA 22150 | 2015-10-30 |
| 1093108219 | Ezra Healthcare, Inc | Home Health | 6803 Backlick Road, Suit 'b', Springfield, VA 22150 | 2015-03-12 |
| 1144611567 | Grace Home Care, LLC | Home Health | 5827 Columbia Pike Suite 211, Springfield, VA 22150 | 2015-02-06 |
| 1174938245 | Rocio Robles | Speech-Language Pathologist | 7001 A Loisdale Road, Springfield, VA 22150 | 2014-06-26 |
| 1538598149 | Johns Hopkins Pharmaquip, Inc. | Durable Medical Equipment & Medical Supplies | 7411 Alban Station Court, Suite A100, Springfield, VA 22150 | 2013-11-04 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1023342870 | M & T Universal Health Services, LLC | Home Health | 6315 Backlick Rd Ste 308, Springfield, VA 22150 | 2009-09-28 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1437234655 | Metropolitan Radiology Assoc Chtd | Radiology | 6128 Brandon Avenue, Suite 205, Springfield, VA 22150 | 2006-10-26 |
| 1033217179 | Allison Nayer | Occupational Therapist | The Chesapeake Center, Inc., 6506 Loisdale Rd., Suite 300, Springfield, VA 22150 | 2006-09-20 |
| Find all providers in zip 22150 | ||||
| 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 |
|---|---|---|---|---|
| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1043276256 | Community Mercy Health Partners | Clinic/Center | 601 Selma Rd, Springfield, OH 45505-2034 | 2006-04-25 |
| 1649831140 | Balance By Chiropractic LLC | Clinic/Center | 6130 Brandon Ave, Springfield, VA 22150-2610 | 2019-06-25 |
| 1528421591 | Nmn Massage & Bodywork | Clinic/Center | 225 E Sunshine St Ste 102, Springfield, MO 65807-2661 | 2016-03-29 |
| 1912368101 | Springfield Primary and Walk In Clinic Inc | Clinic/Center | 8316 Traford Ln, Unit B, Springfield, VA 22152-1654 | 2016-03-15 |
| 1952725632 | Epoch Health- Springfield, LLC | Clinic/Center | 4560 S Campbell Ave, Suite 116, Springfield, MO 65810-1720 | 2014-02-14 |
| 1922436054 | Maplegate Medical Center Inc | Clinic/Center | 20 Maple St, Suite 3, Springfield, MA 01103-1930 | 2013-10-29 |
| 1407138506 | Personal Family Care, Pllc | Clinic/Center | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2011-09-14 |
| 1043447824 | Orion Healthcare Missouri, LLC | Clinic/Center | 2740 N Mayfair Ave, Springfield, MO 65803-5084 | 2009-06-18 |
| 1821240367 | Concentra Health Services, Inc. | Clinic/Center | 140 Carando Dr., Springfield, MA 01104-3296 | 2008-10-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22150 |
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.