KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC (NPI# 1376815472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376815472 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC |
| Other Organization Name | KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER |
| Practice Address |
8008 Westpark Dr Mc Lean VA 22102-3109 |
| Mailing Address |
2101 E Jefferson St Attn: Judy Owiti, Provider Operations 3 W Rockville MD 20852-4908 |
| Practice Telephone | 7034908400 |
| Mailing Telephone | 3018166513 |
| Mailing Fax Number | 3018167170 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2014-06-27 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Tysons Corner Medical Center | Doing Business As Name - Organization |
| 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 |
| 1740355684 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 815 E Pratt St, Baltimore, MD 21202-4402 | 2006-11-22 |
| 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 |
| 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 |
| Street Address |
8008 WESTPARK DR |
| City | MC LEAN |
| State | VA |
| Zip Code | 22102-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249810 | Jennifer G Resta | Anesthesiology | 8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102-3109 | 2005-07-18 |
| 1710586771 | Abraham Belay Gebremariam | Pharmacist | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2020-10-21 |
| 1528613908 | Hannah Eileen Makridis | Pharmacist | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2019-08-02 |
| 1174090542 | Daphne Larissa Estill | Registered Nurse | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2018-10-24 |
| 1538667878 | Kaiser Permanente | Physical Therapist | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2018-01-31 |
| 1821511734 | Matindokht Taheri | Family Medicine | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2017-07-23 |
| 1144769787 | Meagan Nicole Nichols | Occupational Therapist | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2017-02-15 |
| 1144774852 | Richard Yoo | Physical Therapist | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2016-08-10 |
| 1215397013 | Laura Harris Kofman | Genetic Counselor, MS | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2016-03-07 |
| 1053783191 | Bao Khoa Tran Nguyen | Pharmacist | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2015-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686249 | Partnerships In Care Corporation | In Home Supportive Care | 8200 Greensboro Drive, Mclean, VA 22102 | 2019-02-25 |
| 1124597919 | Choi Ying Hoo | Massage Therapist | 8347a Greensboro Dr, Yulli Therapeutic Healing Center, Tysons Corner Mclean, VA 22102 | 2018-11-21 |
| 1063998086 | Golden Angel Care LLC | In Home Supportive Care | 1765 Greensboro Station Pl Ste 900, Mc Lean, VA 22102 | 2018-07-12 |
| 1699278291 | Chukwudi Luke Onwuka | Behavior Technician | 1651 Old Meadow Road Suite 600, Mclean, VA 22102 | 2018-03-10 |
| 1861901969 | Behavior Health Inc | Psychiatry & Neurology | 8000 Westpark Drive, Suite 140, Mclean, VA 22102 | 2017-09-21 |
| 1487013504 | Sharon Simon | Nurse Practitioner | 1430 Spring Hill Rd Ste 103, Mc Lean, VA 22102 | 2016-02-17 |
| 1699130336 | Somatus, Inc. | Case Management | 1861 International Drive Suite 600, Mclean, VA 22102 | 2015-12-23 |
| 1225388580 | Victoria A Bacsardi | Social Worker | 8008 Westpark Dr Ste 315, Mc Lean, VA 22102 | 2012-09-14 |
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1538302047 | Crystal St. Clair | Anesthesiology | 8008 Westpark Dr., Mclean, VA 22102 | 2009-04-14 |
| Find all providers in zip 22102 | ||||
| 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 |
|---|---|---|---|---|
| 1831649094 | Continuum Pediatric Therapy | Health Maintenance Organization | 1651 Old Meadow Rd, Suite 600, Mc Lean, VA 22102-4311 | 2016-10-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.