KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1689212771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689212771 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. |
| Practice Address |
1701 Twin Springs Rd Halethorpe MD 21227-3553 |
| Practice Telephone | 4107375000 |
| Mailing Telephone | 4107375000 |
| 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 |
|---|---|
| South Baltimore County 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 |
| 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 |
1701 TWIN SPRINGS RD |
| City | HALETHORPE |
| State | MD |
| Zip Code | 21227-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068903 | Ifeoluwa Y Omitowoju | Pediatrics | 1701 Twin Springs Rd, Kaiser Permanente South Baltimore County Hub, Halethorpe, MD 21227-3553 | 2005-10-26 |
| 1891345674 | Jennifer Fullem | Family Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-09-13 |
| 1295397305 | Abolanle Busirat Ahmed-orepitan | Family Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-06-28 |
| 1730743071 | Richard Saunders | Specialist/Technologist, Other | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-04-23 |
| 1245706092 | Thomas Closson | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-10-19 |
| 1134607765 | Christopher John Miller | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-08-06 |
| 1053899708 | Kathryn Mundi | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-08-04 |
| 1174039044 | Antoinette Gupta | Specialist/Technologist, Other | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-12-14 |
| 1568971968 | Andrew Chi | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-09-28 |
| 1093242141 | Rezene Asghodom | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | HALETHORPE |
| Zip Code | 21227 |
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.