KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC. (NPI# 1588785620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588785620 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC. |
| Other Organization Name | MERRIFIELD MENTAL HEALTH CENTER |
| Practice Address |
8550 Lee Hwy Fairfax VA 22031-1515 |
| Mailing Address |
2101 E Jefferson St Rockville MD 20852-4908 |
| Practice Telephone | 7032072800 |
| Practice Fax Number | 7032072838 |
| Mailing Telephone | 3018167446 |
| Mailing Fax Number | 3018167170 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | ANDEE G. PETERSEN (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3018165760 |
| Authorized Official Credential | CPA, MBA |
| 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 |
|---|---|
| Merrifield Mental Health Center | Doing Business As Name - Organization |
| 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 |
| 1831388081 | Kaiser Foundation Health Plan of The Mid-atlantic States Inc. | Health Maintenance Organization | 106 Irving St Nw, Suite 108, Washington, DC 20010-2927 | 2007-10-23 |
| 1437270576 | Kaiser Foundation Health Plan of The Mid-atlantic States Inc. | Health Maintenance Organization | 10500 Summit Ave, Kensington, MD 20895-2422 | 2007-04-03 |
| Street Address |
8550 LEE HWY |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619944576 | Deborah Lee Gilpin | Physical Therapist | 8550 Lee Hwy, Suite 450, Fairfax, VA 22031-1515 | 2006-03-01 |
| 1710477229 | Conor F Thompson | Physical Therapist | 8550 Lee Hwy, Fairfax, VA 22031-1577 | 2018-05-10 |
| 1811306871 | Stephen Gassaway | Physical Therapist | 8550 Lee Hwy, Suite 450, Fairfax, VA 22031-1515 | 2014-08-04 |
| 1114359908 | Daniel Y Park | Physical Therapist | 8550 Lee Hwy, Suite 450, Fairfax, VA 22031-1515 | 2013-08-02 |
| 1457647174 | Gloria J. Gordy | Counselor | 8550 Lee Hwy, Fairfax, VA 22031-1515 | 2011-06-21 |
| 1891948204 | Sofia K Anagnos | Physical Therapist | 8550 Lee Hwy, Suite 450, Fairfax, VA 22031-1515 | 2008-10-29 |
| 1902062011 | Karen M. Wells | Social Worker | 8550 Lee Hwy, Fairfax, VA 22031-1517 | 2008-07-29 |
| 1720102817 | Susan R Allen | Counselor | 8550 Lee Hwy, Fairfax, VA 22031-1515 | 2007-03-16 |
| 1740346428 | Sherry Hulfish Browne | Psychologist | 8550 Lee Hwy, Suite 500, Fairfax, VA 22031-1515 | 2006-12-28 |
| 1275553885 | Neelima Venapally | Physical Therapist | 8550 Lee Hwy, Suite 450, Fairfax, VA 22031-1515 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| 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 |
|---|---|---|---|---|
| 1528309606 | Portereshice Shunta Brabham | Health Maintenance Organization | 345 Amelia St, Fairfax, SC 29827-5967 | 2013-03-14 |
| 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 |
| 1760811855 | All Pro Dental Care | Health Maintenance Organization | 8500 Executive Park Ave, Suite 208, Fairfax, VA 22031-2225 | 2013-11-08 |
| 1114048295 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Health Maintenance Organization | 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 | 2007-04-03 |
| 1821118373 | Kaiser Foundation Health of The Plan Mid-atlantic States,inc | Health Maintenance Organization | 8261 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | 2007-03-29 |
| 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.