KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC. (NPI# 1164076915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164076915 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC. |
| Practice Address |
125 Hospital Center Blvd Ste 110 Stafford VA 22554-6202 |
| Practice Telephone | 5406026500 |
| Mailing Telephone | 5406026500 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| 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. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Colonial Forge Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578120747 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Pharmacy | 15050 Heathcote Blvd, Haymarket, VA 20169-6251 | 2019-05-23 |
| 1386298149 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Clinical Medical Laboratory | 15050 Heathcote Blvd, Haymarket, VA 20169-6251 | 2019-07-30 |
| 1063066819 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Health Maintenance Organization | 15050 Heathcote Blvd, Haymarket, VA 20169-6251 | 2019-07-30 |
| 1760036511 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Clinical Medical Laboratory | 125 Hospital Center Blvd Ste 110, Stafford, VA 22554-6202 | 2019-07-30 |
| 1376004457 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Clinical Medical Laboratory | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2019-03-29 |
| 1134680200 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Health Maintenance Organization | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2019-03-29 |
| 1104128925 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Health Maintenance Organization | 1396 Piccard Dr, Rockville, MD 20850-4302 | 2010-11-30 |
| 1407157597 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Clinic/Center | 6104 Old Branch Ave, Temple Hills, MD 20748-2518 | 2010-11-05 |
| Street Address |
125 HOSPITAL CENTER BLVD STE 110 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016368 | Kaiser Foundation Health Plan of The Mid-atlantic States Inc. | Pharmacy | 125 Hospital Center Blvd Ste 110, Stafford, VA 22554-6202 | 2019-04-09 |
| 1760036511 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Clinical Medical Laboratory | 125 Hospital Center Blvd Ste 110, Stafford, VA 22554-6202 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376872978 | Pacific West Services | Health Maintenance Organization | 4434 Bluebonnet Dr Ste 145, Stafford, TX 77477-2904 | 2009-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031629 | Suzanne Eva Leitner-wise | Health Maintenance Organization | 532 N Washington St Ste 100, Alexandria, VA 22314-2314 | 2020-10-18 |
| 1700371358 | Mgellan Complete Care Virginia | Health Maintenance Organization | 3829 Gaskins Rd, Richmond, VA 23233-1437 | 2018-06-26 |
| 1780102335 | Illuminated Direction | Health Maintenance Organization | 6116 Rolling Road Suite 104, Springfield, VA 22152 | 2017-09-05 |
| 1790228146 | Walgreens | Health Maintenance Organization | 99 Tide Mill Ln, Apt #96, Hampton, VA 23666-2764 | 2016-12-02 |
| 1457719205 | Heavenly Friends Home Healthcare Services LLC. | Health Maintenance Organization | 24 Palisade Pt, Hampton, VA 23666-6029 | 2016-02-08 |
| 1609240142 | Hearing Healthcare of Virginia | Health Maintenance Organization | 1951 Evelyn Byrd Ave Ste F, Harrisonburg, VA 22801-3483 | 2015-11-20 |
| 1558735332 | Meluzio Psychological Services, LLC | Health Maintenance Organization | 10 Indian Wood Ln, Fredericksburg, VA 22405-1834 | 2015-11-17 |
| 1730555780 | No Place Like Home | Health Maintenance Organization | 1713 Sunset Dr, Bassett, VA 24055-4834 | 2015-08-13 |
| 1073992434 | We Care Home Health Services | Health Maintenance Organization | 102 Pine View Street, Patrick Springs, VA 24133-3701 | 2015-05-19 |
| 1275911653 | Peace From Pieces | Health Maintenance Organization | 307 Lafayette Blvd Ste 202, Fredericksburg, VA 22401-6079 | 2015-05-18 |
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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.