KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC (NPI# 1700907888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700907888 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC |
| Other Organization Name | PRINCE GEORGE'S MEDICAL CENTER |
| Practice Address |
6525 Belcrest Rd Hyattsville MD 20782-2003 |
| Mailing Address |
2101 E Jefferson St Rockville MD 20852-4908 |
| Practice Telephone | 3012096000 |
| Practice Fax Number | 3012096204 |
| Mailing Telephone | 3018167446 |
| Mailing Fax Number | 3018167170 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-06-27 |
| Authorized Official Name | DEANNE G. PETERSEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3018165760 |
| 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 |
|---|---|
| Prince George's Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971873 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Health Maintenance Organization | 3400 Box Hill Corporate Center Dr, Stes 100 & 200, Abingdon, MD 21009-9998 | 2017-02-15 |
| 1043378656 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Psychologist | 10 Hopkins Plaza, Baltimore, MD 21201-2902 | 2006-12-05 |
| 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 |
| 1902971849 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 1396 Piccard Drive, Rockville, MD 20850-4302 | 2006-11-22 |
| 1497820435 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 6501 Loisdale Road, Springfield, VA 22150-1845 | 2006-11-22 |
| 1013082957 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 8028 Richie Highway, Pasadena, MD 21222-1030 | 2006-11-22 |
| 1346315280 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 4920 Campbell Boulevard, Baltimore, MD 21236-5916 | 2006-11-22 |
| 1003981945 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 7070 Samuel Morse Drive, Columbia, MD 21046-3405 | 2006-11-22 |
| 1720153661 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 12201 Plum Orchard Drive, Silver Spring, MD 20910-7803 | 2006-11-22 |
| 1033658521 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 | 2017-02-16 |
| 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 |
6525 BELCREST RD |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20782-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568436947 | Norman Shedlo | Optometrist | 6525 Belcrest Rd, Suite 200, Hyattsville, MD 20782-2003 | 2006-02-14 |
| 1144833351 | Sam Khosraviani | Pharmacist | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 | 2020-08-26 |
| 1306325709 | Brittany Amara Carroll | Pharmacist | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 | 2018-08-07 |
| 1215449418 | Elan Ousley | Counselor | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 | 2017-10-27 |
| 1720526940 | Contemporary Family Services, Inc | Community/Behavioral Health | 6525 Belcrest Rd, Suite G40, Hyattsville, MD 20782-2003 | 2017-02-08 |
| 1790220366 | Contemporary Family Services, Inc. | Day Training, Developmentally Disabled Services | 6525 Belcrest Rd, Suite G40, Hyattsville, MD 20782-2003 | 2017-01-05 |
| 1487198982 | Contemporary Family Services, Inc. | Skilled Nursing Facility | 6525 Belcrest Rd, Suit G40, Hyattsville, MD 20782-2003 | 2016-12-19 |
| 1932656402 | Azizza Davis | Pharmacist | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 | 2016-09-01 |
| 1518317833 | Temitope Awofeso | Pharmacist | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 | 2016-06-17 |
| 1447617378 | Carla Darling | Pharmacist | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 | 2016-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712254 | Covenant Cosmetic & Wellness Center | Clinic/Center | 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 | 2020-08-26 |
| 1174146807 | Scort Achah | Home Health Aide | 2572 Queens Chapel Road, #4, Hyattsville, MD 20782 | 2020-05-28 |
| 1679130215 | Kla Vision, P.C. | Optometrist | 3500 East-west Highway, Hyattsville, MD 20782 | 2019-05-20 |
| 1417431677 | Visurraga Enterprises LLC | Nurse Anesthetist, Certified Registered | 4112 E West Hwy, Hyattsville, MD 20782 | 2018-09-24 |
| 1134605876 | Melinda Merricks | Behavioral Analyst | 5901 31st Ave, Apt. 203, Hyattsville, MD 20782 | 2018-07-16 |
| 1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
| 1922527134 | Amenan Marie Paule Yao | Home Health Aide | 7009 Highview Ter Apt 202, Hyattsville, MD 20782 | 2017-09-19 |
| 1558886358 | Emilia Domingez De Urena | Home Health Aide | 6700 Belcrest Road, Hyattsville, MD 20782 | 2017-08-14 |
| 1184176851 | Prince George's Hospital Center | Student in an Organized Health Care Education/Training Program | 3500 Dean Drive, Apt K3, Hyattsville, MD 20782 | 2016-10-28 |
| 1992257927 | Johanna Arias-bonilla | Social Worker | 2970 Belcrest Center Drive Unit 301, Hyattsville, MD 20782 | 2016-10-25 |
| Find all providers in zip 20782 | ||||
| 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 |
|---|---|---|---|---|
| 1134576713 | Ne1 Health Services | Health Maintenance Organization | 4924 56th Pl, Hyattsville, MD 20781-2652 | 2016-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490242 | Angels Healthcare Services LLC | Health Maintenance Organization | 1828 Hanford Rd, Baltimore, MD 21237-1744 | 2020-05-29 |
| 1396395265 | Tsg Community Services | Health Maintenance Organization | 12 Sharon Ct Apt 304, Laurel, MD 20707-4543 | 2019-09-12 |
| 1730746975 | University of Maryland Health Advantage | Health Maintenance Organization | 1966 Greenspring Dr Ste 100, Timonium, MD 21093-4100 | 2019-05-23 |
| 1508392895 | The Hope Center of Carmody Hills | Health Maintenance Organization | 6501 Seat Pleasant Dr, Capitol Heights, MD 20743-6016 | 2017-05-04 |
| 1851824049 | Ricardo Parris | Health Maintenance Organization | 4013 23rd Pkwy, Apt 12, Temple Hills, MD 20748-6655 | 2017-04-05 |
| 1740729045 | Naturally Therapeutic Counseling LLC | Health Maintenance Organization | 4640 Forbes Blvd, Suite 120 Q, Lanham, MD 20706-4323 | 2017-02-20 |
| 1265971873 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Health Maintenance Organization | 3400 Box Hill Corporate Center Dr, Stes 100 & 200, Abingdon, MD 21009-9998 | 2017-02-15 |
| 1457893794 | Medtech Enginuity Corp. | Health Maintenance Organization | 12125 Guinevere Pl, Glenn Dale, MD 20769-2203 | 2016-11-16 |
| 1932650439 | Allen-ayuk Behavioral Health Center | Health Maintenance Organization | 7100 Chesapeake Road #106, Landover, MD 20784 | 2016-10-19 |
| 1346796885 | Community First Health Care Services Company, LLC | Health Maintenance Organization | 610 N Linwood Ave, Baltimore, MD 21205-2707 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
| City | HYATTSVILLE |
| Zip Code | 20782 |
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.