KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC


Address: 700 2nd St Ne, Washington, DC 20002-4308
Phone: 2029895100

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC (NPI# 1154622900) 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) 1154622900
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Other Organization Name KAISER PERMANENTE CAPITOL HILL DIALYSIS
Practice Address 700 2nd St Ne
Washington
DC 20002-4308
Mailing Address 2101e Jefferson St
2 East Kaiser Permanente Attn:sanjay Mathur
Rockville
MD 20850-4908
Practice Telephone 2029895100
Practice Fax Number 3018167170
Mailing Telephone 3018167446
Mailing Fax Number 3018167170
Enumeration Date 2010-11-10
Last Update Date 2012-03-15
Authorized Official Name MR. WILLIAM G MORAN (SENOR BUSINESS &TECHNOLOGY CONSULT)
Authorized Official Telephone 3018165832
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 332BD1200X Durable Medical Equipment & Medical Supplies
Specialization: Dialysis Equipment & Supplies
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MD MEDICARE GROUP ID 410092 01

Other Provider/Organization Names

Other Name Type Code
Kaiser Permanente Capitol Hill Dialysis Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033578364 Kaiser Foundation Health Plan of The Mid Atlantic States, Inc Clinic/Center 7141 Security Blvd, Baltimore, MD 21244-1811 2016-02-15
1770886681 Kaiser Foundation Health Plan of The Mid Atlantic States, Inc Health Maintenance Organization 10500 Summit Ave, Kensington, MD 20895-2422 2010-12-15
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

Office Location

Street Address 700 2ND ST NE
City WASHINGTON
State DC
Zip Code 20002-4308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033114996 Piyapong Vongkovit Internal Medicine 700 2nd St Ne, Washington, DC 20002-8100 2005-06-16
1225640907 Hycenta Ndosoh Halle Registered Nurse 700 2nd St Ne, Washington, DC 20002-8100 2020-08-23
1568083822 Michelle Yeung Pharmacy Technician 700 2nd St Ne, Washington, DC 20002-8100 2020-04-28
1285253138 Seth A Keating Pharmacy Technician 700 2nd St Ne, Washington, DC 20002-8100 2020-04-10
1982231460 Kiana Deneen Mack Pharmacy Technician 700 2nd St Ne, Washington, DC 20002-8100 2020-03-25
1285272369 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 700 2nd St Ne, Washington, DC 20002-8100 2019-12-19
1033693767 Jewell J Reddick Pharmacist 700 2nd St Ne, Washington, DC 20002-8100 2018-09-19
1720594997 Nathan Redington Physical Therapist 700 2nd St Ne, Washington, DC 20002-8100 2017-12-23
1558875765 Sheryl Lynn Canlas Pharmacist 700 2nd St Ne, Washington, DC 20002-8100 2017-11-27
1114456092 Jacinda Thieu-tran Tran Pharmacist 700 2nd St Ne, Washington, DC 20002-8100 2017-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508484569 Curative Labs Inc. Clinical Medical Laboratory 3330 New York Ave Ne, Washington, DC 20002 2020-07-07
1477174415 Chuquita Alma Berry Technician 11 R Street Ne, Apt 204, Washington, DC 20002 2020-04-30
1891326104 For Us Therapeutics Counseling & Consulting Services, LLC Community/Behavioral Health 1425 Hst, Ne, Washington, DC 20002 2020-01-27
1215574975 Chanea Paige Technician 1753 A St Ne, Washington, DC 20002 2019-12-02
1861038952 Yasmen Britt Emergency Medical Technician, Paramedic 1711 Benning Rd, Washington, DC 20002 2019-11-23
1871053165 Alyse Marie Knuth Dentist Pentagon, Corridor 8, Washington, DC 20002 2019-03-22
1043776586 Courtney Moore-mercado Social Worker 429 P Street Nw, Washington, DC 20002 2019-02-20
1578034096 Triple Alliance Pharmacy, Inc Pharmacy 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 2018-12-10
1477023000 Tekisha Cecelia Blake Technician 16 R Street Ne, Washington, DC 20002 2018-11-27
1801366497 Tionna Paulette Harrison Technician 150 Q Street Ne 1427, Washington, DC 20002 2018-11-27
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Taxonomy Information

Taxonomy Code 332BD1200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Dialysis Equipment & Supplies

Taxonomy Definition

Definition to come...

Competitor

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City WASHINGTON
Zip Code 20002

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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