KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC (NPI# 1033578364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033578364 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC |
| Other Organization Name | WOODLAWN PERITONEAL DIALYSIS CENTER |
| Practice Address |
7141 Security Blvd Baltimore MD 21244-1811 |
| Mailing Address |
2101 E Jefferson St Rockville MD 20852-4908 |
| Practice Telephone | 4436636000 |
| Mailing Telephone | 3018167446 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | JONATHAN L KUNKLE (VP AND 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 | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodlawn Peritoneal Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770886681 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | Health Maintenance Organization | 10500 Summit Ave, Kensington, MD 20895-2422 | 2010-12-15 |
| 1154622900 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | Durable Medical Equipment & Medical Supplies | 700 2nd St Ne, Washington, DC 20002-4308 | 2010-11-10 |
| 1699084046 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | Pharmacy | 700 2nd St Ne, Suite L18, Washington, DC 20002-4308 | 2010-10-04 |
| Street Address |
7141 SECURITY BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363885 | Fiona F Meller-azrieli | Internal Medicine | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2005-08-15 |
| 1447898531 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-12-19 |
| 1104385301 | Kisha Mary Selby | Registered Nurse | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-03-18 |
| 1932631918 | Jennifer Taylor Ratta | Dietitian, Registered | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2017-03-30 |
| 1376908020 | Renee Farmer | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2015-12-23 |
| 1144656521 | Dennis Artiga De Leon | Physical Therapist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-09-18 |
| 1629413901 | Alexandra Macleod Grimes | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-05-01 |
| 1528309051 | Howard Seto Gwon | Pharmacist | 7141 Security Blvd, Pharmacy, Baltimore, MD 21244-1811 | 2013-03-07 |
| 1255672853 | Karina Elaine Holland | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-03-06 |
| 1639410426 | Miesha Buckner | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660962 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 5315 York Rd, Baltimore, MD 21212-3830 | 2018-05-22 |
| 1851740096 | Northpoint Dialysis Clinic LLC | Clinic/Center | 1046 North Point Road, Baltimore, MD 21224 | 2016-06-08 |
| 1699121517 | Fresenius Medical Care Nw Baltimore, LLC | Clinic/Center | 2 Hamill Rd Ste 200, Baltimore, MD 21210-1817 | 2016-05-10 |
| 1689035693 | Baltimore County Dialysis, LLC | Clinic/Center | 407 N Caroline St Ste 100, Baltimore, MD 21231-1003 | 2016-03-18 |
| 1346621554 | Kidney Home Center, LLC | Clinic/Center | 200 Saint Paul St Ste 5, Baltimore, MD 21202-2025 | 2015-06-12 |
| 1942623129 | Braidwood Dialysis LLC | Clinic/Center | 200 Saint Paul Pl, Suite 5, Baltimore, MD 21202-2004 | 2014-01-24 |
| 1114351863 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 1046 S Northpoint Rd, Baltimore, MD 21224-3307 | 2013-08-29 |
| 1821330952 | Fresenius Medical Care Essex Dundalk, LLC | Clinic/Center | 1107 N Point Blvd Ofc Park, Suite 201, Baltimore, MD 21224-3420 | 2013-03-27 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1073720827 | Bio Medical Applications of Maryland Inc | Clinic/Center | 1104 Walters Ave, Baltimore, MD 21239 | 2007-05-17 |
| Find all providers in BALTIMORE | ||||
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| 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.