KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC


Address: 815 E Pratt St, Baltimore, MD 21202-4402
Phone: 4106375870

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC (NPI# 1740355684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740355684
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Other Organization Name KAISER PERMANENTE BALTIMORE HARBOR MEDICAL CENTER LABORATORY
Practice Address 815 E Pratt St
Baltimore
MD 21202-4402
Mailing Address 2101 E Jefferson Street 3 West
Kaiser Permanente Data Mgmt Dept Attn Sanjay Mathur
Rockville
MD 20852-4908
Practice Telephone 4106375870
Mailing Telephone 3018167446
Mailing Fax Number 3018167170
Enumeration Date 2006-11-22
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
Kaiser Permanente Baltimore Harbor Medical Center Laboratory Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
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

Other Data Sources

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

Office Location

Street Address 815 E PRATT ST
City BALTIMORE
State MD
Zip Code 21202-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
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
1578681623 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Health Maintenance Organization 815 E Pratt St, Baltimore, MD 21202-4402 2007-03-27
1508932484 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 815 E Pratt St, Baltimore, MD 21202-4402 2006-11-24

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

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1821593161 Institute for Dermatopathology, Inc. Clinical Medical Laboratory 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 2018-03-28
1336650605 Patapsco Ave Health Services Clinical Medical Laboratory 1017 E Patapsco Ave, Baltimore, MD 21225-2228 2017-10-13
1154850063 Maximum Lab Services, LLC Clinical Medical Laboratory 2211 Maryland Ave Ste A, Baltimore, MD 21218-5627 2017-06-06
1073925517 Sysmex Inostics, Inc. Clinical Medical Laboratory 1812 Ashland Ave, Suite 500, Baltimore, MD 21205-1546 2014-06-02
1245655067 Carepoint Diagnostic Services, Ltd Clinical Medical Laboratory 7416 Harford Rd, Baltimore, MD 21234-7107 2014-03-03
1366776551 Brt Laboratories, Inc. Clinical Medical Laboratory 400 W Franklin St, Baltimore, MD 21201-1811 2009-09-22
1265685440 Ccc Diagnostics, LLC Clinical Medical Laboratory 3918 Vero Road, Suite B, Baltimore, MD 21227-1522 2008-10-31
1518150846 Howard H. Bond,m.d Clinical Medical Laboratory 9618 Belair Rd, Baltimore, MD 21236-1104 2007-08-21
1942425905 Ophthalmic Photography Inc Clinical Medical Laboratory 3131 Enclave Ct, Baltimore, MD 21208-3337 2007-04-16
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Competitor

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City BALTIMORE
Zip Code 21202

Improve Information

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Dataset Information

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.

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