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


Address: 6104 Old Branch Ave, Temple Hills, MD 20748-2518
Phone: 3017026100

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1417595596) 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) 1417595596
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
Practice Address 6104 Old Branch Ave
Temple Hills
MD 20748-2518
Practice Telephone 3017026100
Mailing Telephone 3017026100
Enumeration Date 2019-12-19
Last Update Date 2019-12-19
Authorized Official Name MR. 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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service 		Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Camp Springs Medical Center DPP Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316574833 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 4400 Forbes Blvd, Lanham, MD 20706-4447 2020-03-25
1215058326 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Health Maintenance Organization 12255 Fair Oaks Pkwy, Fairfax, VA 22033-3952 2007-04-03
1285752121 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Health Maintenance Organization 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 2007-03-27
1417075318 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Health Maintenance Organization 7190 Crestwood Boulevard, Frederick, MD 21703-7314 2007-03-27
1699833202 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinical Medical Laboratory 6625 Belcrest Highway, Hyattsville, MD 20782-2003 2006-12-05
1285272369 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 700 2nd St Ne, Washington, DC 20002-8100 2019-12-19
1457999542 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 4920 Campbell Blvd, Baltimore, MD 21236-5916 2019-12-19
1689212763 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 201 N Washington St, Falls Church, VA 22046-4518 2019-12-19
1659919744 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 6501 Loisdale Ct, Springfield, VA 22150-1826 2019-12-19
1710525803 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 2019-12-19

Other Data Sources

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

Office Location

Street Address 6104 OLD BRANCH AVE
City TEMPLE HILLS
State MD
Zip Code 20748-2518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982670949 Steven Kenneth Seigel Family Medicine 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2006-02-28
1306311154 Alexis Henderson Pharmacy Technician 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2018-10-08
1508356239 Deonte David Carter Pharmacy Technician 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2018-05-17
1366932477 Shakia Wilson Pharmacy Technician 6104 Old Branch Ave, Temple Hills, MD 20748-2557 2018-05-14
1689189979 Sharon A Wright Registered Nurse 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2017-12-08
1467908152 Lisa Robinson Pharmacist 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2016-09-01
1235592569 Olufunmilayo Rebecca Agunbiade Pharmacist 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2016-04-04
1841604790 Dilasha Katwal Internal Medicine 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2014-06-19
1174966220 Frederick Asamoah Sr. Pharmacist 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2013-04-08
1235471582 Christopher O Mbah Pharmacist 6104 Old Branch Ave, Temple Hills, MD 20748-2518 2013-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316579873 Brightway Professionals and Associates Clinic/Center 4810 St.barnabas Rd, Suite 201, Temple Hills, MD 20748 2020-02-12
1235783085 Jasmine Lenee Carter Behavior Technician 5506 Clothier St., Temple Hills, MD 20748 2019-07-30
1649760075 Livewell Family Clinic LLC Clinic/Center 3611 Branch Ave Ste 404, Temple Hills, MD 20748 2018-05-10
1346785474 Cardinal Health Care Solution LLC Home Health 4905 Faith Crossin Ct, Templehills, MD 20748 2016-12-28
1205370095 Crystal Hughes Specialist 6337 Old Branch Ave Shop 37, Camp Springs, MD 20748 2016-12-13
1417385444 Ibhs LLC Substance Abuse Rehabilitation Facility 5000 Barnabas Road, Ct2, Temple Hills, MD 20748 2013-10-30
1063848703 Oluwagbenga Jegede Home Health Aide 6516 Allentown Rd, Temple Hills, MD 20748 2013-09-25
1184067514 Vijaya Lakshmi Alla Family Medicine 6014 Old Branch Avenue, Temple Hills, MD 20748 2013-04-16
1215178959 Patricia Ann Carter Counselor 5121 Henderson Road, Suite 101, Temple Hills, MD 20748 2009-03-10
1427220888 Emerging Vision Technician/Technologist 3801 D Branch Ave, Iverson Mall, Temple Hills, MD 20748 2008-03-26
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114526696 Alive & Well Company Clinic/Center 400 Warfield Dr, Hyattsville, MD 20785-4584 2020-10-26
1487252714 Restore Healthcare Services Clinic/Center 15017 Northcote Ln, Bowie, MD 20716-1044 2020-10-09
1932712254 Covenant Cosmetic & Wellness Center Clinic/Center 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 2020-08-26
1679191290 Ez Health Resources, LLC Clinic/Center 13119 Piney Meetinghouse Rd, Potomac, MD 20854-6350 2020-07-09
1962027052 Tammy Senn, LLC Clinic/Center 2996 Hobbs Rd, Glenwood, MD 21738-9731 2020-06-15
1548885346 Doris Collaborative Family Practice, LLC Clinic/Center 7671 Mandrake Ct Unit 222, Elkridge, MD 21075-7995 2020-06-08
1205457124 Mark Johnson, Md, PC Clinic/Center 10801 Lockwood Dr Ste 285, Silver Spring, MD 20901-1556 2020-05-01
1548894314 Isinc Healthcare Services, LLC Clinic/Center 229 Washington Blvd S, Laurel, MD 20707-4615 2020-03-02
1821648312 Capital Multi Health Group, Inc Clinic/Center 2411 Crofton Ln Ste 4a, Crofton, MD 21114-1337 2019-09-17
1396395166 Farr Out Eyecare LLC Clinic/Center 820 Market St, Westminster, MD 21157-6114 2019-09-13
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Competitor

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City TEMPLE HILLS
Zip Code 20748

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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