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


Address: 1447 York Road, Suite 100, Lutherville, MD 21093-6014
Phone: 4103395655

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC (NPI# 1801954375) 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) 1801954375
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC
Other Organization Name TOWSON MEDICAL CENTER PHARMACY
Practice Address 1447 York Road
Suite 100
Lutherville
MD 21093-6014
Mailing Address 22370 Davis Dr
Suite 190
Sterling
VA 20164-5366
Practice Telephone 4103395655
Practice Fax Number 4103395690
Mailing Telephone 7034664800
Mailing Fax Number 7034664802
Enumeration Date 2006-12-05
Last Update Date 2012-11-13
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Towson Medical Center Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

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
1710045299 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 655 Watkins Mill Road, Gaithersburg, MD 20879-3323 2006-12-05
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

Office Location

Street Address 1447 YORK ROAD
SUITE 100
City LUTHERVILLE
State MD
Zip Code 21093-6014

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932100153 Kelly L. Geoghan Podiatrist 1447 York Road, Suite 504, Lutherville, MD 21093-6097 2005-08-10
1881119402 Haritha Pendli Md PC Internal Medicine 1447 York Road, Suite 406, Lutherville, MD 21093 2017-08-04
1790015667 Franklin Weinstein Obstetrics & Gynecology 1447 York Road, Suite 504, Lutherville, MD 21093-0000 2009-12-28
1881747277 Richard Nelson Carey Internal Medicine 1447 York Road, Lutherville, MD 21093 2007-01-19
1942365200 Michael A Dias Otolaryngology 1447 York Road, Lutherville, MD 21093-6017 2006-12-27
1235294570 Rolando Guillermo Vieta Internal Medicine 1447 York Road, Lutherville, MD 21093-6017 2006-12-27
1619038809 Victoria A Dowling Obstetrics & Gynecology 1447 York Road, Lutherville, MD 21093-6017 2006-12-12
1043370901 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc Health Maintenance Organization 1447 York Road, Suite 100, Lutherville, MD 21093-6014 2006-12-11
1013085422 Donna J Dearborn Nurse Practitioner 1447 York Road, Lutherville, MD 21093-6017 2006-12-01
1184799025 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc Clinical Medical Laboratory 1447 York Road, Suite 100, Lutherville, MD 21093-6014 2006-11-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497309959 Megan Lagergren Social Worker 1407 York Rd. Suite 307, Baltimore, MD 21093 2019-08-01
1437629003 Mary Ann Lopus Counselor Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 2018-11-27
1275001455 Hannah Michele Breckenridge Social Worker 1212 York Rd Ste A302, Lutherville, MD 21093 2018-11-06
1386111573 Christina Calabrese Social Worker Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 2018-10-26
1790279735 Synopsis Healthscience Internal Medicine 19 Huntress Ct, Timonium, MD 21093 2018-06-21
1134648629 Centers for Advanced Orthopaedics, LLC Occupational Therapist 1312 Bellona Ave Ste 302, Lutherville, MD 21093 2017-09-15
1134647746 Andrea Stokes Rackowski Social Worker 1400 Front Ave. Suite 305, Lutherville, MD 21093 2017-09-03
1790200780 Judson Franklin Force Jr. Pediatrics 309 Overlook Dr, Timonium, MD 21093 2017-08-10
1942722053 Eundae Suk Chiropractor 1407 York Rd Ste 302, Lutherville, MD 21093 2017-07-10
1508301482 Bh Brightview Mays Chapel Ridge Opco, LLC Alzheimer Center (Dementia Center) 12261 Roundwood Road, Timonium, MD 21093 2016-12-30
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Taxonomy Information

Taxonomy Code 3336M0003X
Grouping Suppliers
Classification Pharmacy
Specialization Managed Care Organization Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679888655 Zonetak Healthcare And Pharmacy 10085 Red Run Blvd Ste 104, Owings Mills, MD 21117-4811 2010-08-13
1710045299 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 655 Watkins Mill Road, Gaithersburg, MD 20879-3323 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
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
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Competitor

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City LUTHERVILLE
Zip Code 21093

Improve Information

Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC.

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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