KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. (NPI# 1497023188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497023188 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. |
| Other Organization Name | KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER AMBULATORY SURGERY CTR |
| Practice Address |
655 Watkins Mill Rd Gaithersburg MD 20879-3323 |
| Mailing Address |
2101 E Jefferson St Provider Operations, Attn: Judy Owiti, 3w Rockville MD 20852-4908 |
| Practice Telephone | 2406324150 |
| Practice Fax Number | 2406324151 |
| Mailing Telephone | 3018166513 |
| Mailing Fax Number | 3018167170 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | MS. ANDEE 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE GROUP ID | 410092 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Gaithersburg Medical Center Ambulatory Surgery Ctr | Doing Business As Name - Organization |
| 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 |
| 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 |
655 WATKINS MILL RD |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629048467 | Julie May Chen | Internal Medicine | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2006-01-24 |
| 1376142315 | Helen Gebereselassie Gamada | Nurse Practitioner | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-10-21 |
| 1043848526 | Scott Eric Jackson | Radiologic Technologist | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-30 |
| 1972130524 | Huai En Chang | Student in an Organized Health Care Education/Training Program | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-24 |
| 1477189322 | Sushmita Malik | Student in an Organized Health Care Education/Training Program | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-22 |
| 1316573314 | Crystal Xue | Student in an Organized Health Care Education/Training Program | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-21 |
| 1144856287 | Daniel Tadeo | Student in an Organized Health Care Education/Training Program | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-20 |
| 1659902963 | Susan Marie Jagt | Radiology | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-01-27 |
| 1295373371 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2019-12-19 |
| 1497306971 | Claudia Priscilla Derse-anthony | Registered Nurse | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477745883 | Quince Orchard Surgery Center, LLC | Clinic/Center | 900 Wind River Lane, Suite 106, Gaithersburg, MD 20878 | 2007-08-10 |
| 1447442876 | Maple Spring Podiatric Surgical Center, Inc | Clinic/Center | 10810 Darnestown Rd, #101, Gaithersburg, MD 20878-2675 | 2007-08-09 |
| 1760507834 | Gaithersburg Foot and Ankle Surgery Center | Clinic/Center | 60 Market St, Suite #202, Gaithersburg, MD 20878-6548 | 2007-03-20 |
| 1487779435 | Lakeforest Ambulatory Surgery Center | Clinic/Center | 702 Russell Ave, #301, Gaithersburg, MD 20877-2606 | 2007-03-20 |
| 1558463257 | Shady Grove Ambulatory Surgery Center,llc | Clinic/Center | 16220 S Frederick Ave, Suite 427, Gaithersburg, MD 20877-4039 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807961 | Vascular Surgery Center of Abingdon | Clinic/Center | 3435 Box Hill Corporate Center Dr Ste H, Abingdon, MD 21009-1204 | 2020-10-02 |
| 1518570084 | Eastside Anesthesia LLC | Clinic/Center | 19 Fontana Ln Ste 104, Rosedale, MD 21237-3027 | 2020-08-25 |
| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
| 1861001372 | Bay Surgery Centers LLC | Clinic/Center | 810 Bestgate Rd Ste 120, Annapolis, MD 21401-3033 | 2020-07-30 |
| 1417566217 | Clearway Surgery Center of Easton, LLC | Clinic/Center | 598 Cynwood Dr Ste 103, Easton, MD 21601-3875 | 2020-07-28 |
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1528680865 | Meridian Surgery Center LLC | Clinic/Center | 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 | 2020-05-09 |
| 1346862869 | Nspc Surgery Center of Maryland, LLC | Clinic/Center | 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 | 2020-05-07 |
| 1225665292 | Annapolis Endoscopy Center LLC | Clinic/Center | 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 | 2020-03-26 |
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC..
| 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.