KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC (NPI# 1710045299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710045299 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC |
| Other Organization Name | GAITHERSBURG MEDICAL CENTER PHARMACY |
| Practice Address |
655 Watkins Mill Road Gaithersburg MD 20879-3323 |
| Mailing Address |
22370 Davis Dr Suite 190 Sterling VA 20164-5366 |
| Practice Telephone | 3012587700 |
| Practice Fax Number | 3012587211 |
| Mailing Telephone | 7034664800 |
| Mailing Fax Number | 7034664802 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-11-13 |
| Authorized Official Name | MS. ANDEE 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 | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Gaithersburg Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073953873 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 | 2013-06-26 |
| 1457416000 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 1890 Metro Center Drive, Reston, VA 20190-5276 | 2006-12-26 |
| 1376601872 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Radiology | 10410 North Kensington Parkway, Kensington, MD 20895-2138 | 2006-12-05 |
| 1215002258 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 7141 Security Boulevard, Baltimore, MD 21244-1811 | 2006-11-22 |
| 1386183713 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 | 2017-02-17 |
| 1366781700 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinic/Center | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2013-02-05 |
| 1942546486 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinic/Center | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2013-01-02 |
| 1104199421 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinical Medical Laboratory | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2012-02-16 |
| 1245512110 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinical Medical Laboratory | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3323 | 2011-09-15 |
| 1881849255 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Health Maintenance Organization | 1201 Hospital Dr, Fredericksburg, VA 22401-8428 | 2008-11-26 |
| Street Address |
655 WATKINS MILL ROAD |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737712 | Obiageli Nancy Uwazie | Pharmacist | 655 Watkins Mill Road, Gaithersburg, MD 20879 | 2013-05-20 |
| 1659545564 | Utpal Udaykumar Inamdar | Emergency Medicine | 655 Watkins Mill Road, Kaiser Permanente Gaithersburg Medical Center, Gaithersburg, MD 20879-3301 | 2008-04-22 |
| 1750585253 | Bhuvana Raja | Family Medicine | 655 Watkins Mill Road, Kaiser Permanente Gaithersburg Medical Center, Gaithersburg, MD 20879-3301 | 2007-06-11 |
| 1588711022 | Shailini Parikh Jain | Internal Medicine | 655 Watkins Mill Road, Kaiser Permanente Gaithersburg Medical Center, Gaithersburg, MD 20879-3301 | 2007-01-05 |
| 1255491841 | Suzanne J Wingate | Nurse Practitioner | 655 Watkins Mill Road, Cardiology, Gaithersburg, MD 20879 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679888655 | Zonetak Healthcare And | Pharmacy | 10085 Red Run Blvd Ste 104, Owings Mills, MD 21117-4811 | 2010-08-13 |
| 1215002258 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 7141 Security Boulevard, Baltimore, MD 21244-1811 | 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 |
| 1083153696 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 3400 Box Hill Corporate Center Dr, Ste 100, Abingdon, MD 21009-1261 | 2017-02-15 |
| 1124366554 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2013-01-18 |
| 1194868422 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 7190 Crestwood Blvd, Frederick, MD 21703-7314 | 2007-02-15 |
| 1477618502 | Kaiser Permanente Frederick Med Ctr | Pharmacy | 7190 Crestwood Blvd, Frederick, MD 21703 | 2006-12-27 |
| 1518025071 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 4920 Campbell Boulevard, White Marsh, MD 21236-5916 | 2006-12-05 |
| 1871651349 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 1396 Piccard Drive, Rockville, MD 20850-4302 | 2006-12-05 |
| 1609934181 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 10810 Connecticut Avenue, Kensington, MD 20895-2138 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
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.