KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC (NPI# 1720153661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720153661 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC |
| Other Organization Name | SILVER SPRING MEDICAL CENTER LABORATORY |
| Practice Address |
12201 Plum Orchard Drive Silver Spring MD 20910-7803 |
| Mailing Address |
2101 E Jefferson Street Kaiser Permantente Data Management Department 3 West Rockville MD 20852-4908 |
| Practice Telephone | 3015721061 |
| Practice Fax Number | 3015723321 |
| Mailing Telephone | 3018167446 |
| Mailing Fax Number | 3018167170 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2014-06-25 |
| 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 | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Silver Spring Medical Center Laboratory | 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 |
| 1033658521 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 | 2017-02-16 |
| 1083153696 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 3400 Box Hill Corporate Center Dr, Ste 100, Abingdon, MD 21009-1261 | 2017-02-15 |
| 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 |
12201 PLUM ORCHARD DRIVE |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-7803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598800476 | Thuan-hoa Nguyen | Family Medicine | 12201 Plum Orchard Drive, Silver Spring, MD 20904 | 2007-02-20 |
| 1689711160 | Murali Balakrishnan | Orthopaedic Surgery | 12201 Plum Orchard Drive, Silver Spring, MD 20904 | 2007-01-31 |
| 1922156579 | Dereje Woreta | Internal Medicine | 12201 Plum Orchard Drive, Silver Spring, MD 20904-7803 | 2007-01-08 |
| 1912067513 | Cynthia J Joseph | Pediatrics | 12201 Plum Orchard Drive, Silver Spring, MD 20904-7803 | 2006-12-12 |
| 1063573343 | Kathyann M Walcott | Family Medicine | 12201 Plum Orchard Drive, Silver Spring, MD 20904-7803 | 2006-12-12 |
| 1427126846 | Kathleen Adams | Optometrist | 12201 Plum Orchard Drive, Silver Spring, MD 20904-7803 | 2006-12-01 |
| 1730257148 | Marcia D Coe | Internal Medicine | 12201 Plum Orchard Drive, Silver Spring, MD 20904-7803 | 2006-12-01 |
| 1144398561 | Kiran K Kumar | Pediatrics | 12201 Plum Orchard Drive, Silver Spring, MD 20904-7803 | 2006-12-01 |
| 1053486993 | Mary Branton | Internal Medicine | 12201 Plum Orchard Drive, Silver Spring, MD 20904-7803 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073063939 | Magnus Diagnostics Laboratories, Inc. | Clinical Medical Laboratory | 8120 Fenton St Ste 301a, Silver Spring, MD 20910-4796 | 2016-10-04 |
| 1578955522 | Labpro | Clinical Medical Laboratory | 13217 New Hampshire Ave Unit 15053, Silver Spring, MD 20914-7601 | 2015-02-28 |
| 1477745891 | Bethesda Dermatopathology Lab Inc. | Clinical Medical Laboratory | 1730 Elton Road, Suite 11, Silver Spring, MD 20903 | 2007-08-10 |
| 1033123880 | Adventist Healthcare, Inc | Clinical Medical Laboratory | 12041 Bournefield Way, Suite A, Silver Spring, MD 20904-7907 | 2006-07-28 |
| 1477554889 | American Diagnostic Laboratories, Inc. | Clinical Medical Laboratory | 1109 Spring St, Silver Spring, MD 20910-4002 | 2005-08-09 |
| 1831574284 | Holy Cross Health, Inc. | Clinical Medical Laboratory | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2015-07-28 |
| 1902035256 | Carmen M Williams | Clinical Medical Laboratory | 1730 Elton Rd, Silver Spring, MD 20903-1723 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574431 | Hope Health Systems Inc | Clinical Medical Laboratory | 1726 Whitehead Rd Ofc, Gwynn Oak, MD 21207-4003 | 2020-10-05 |
| 1396356846 | Qualvita Diagnostics | Clinical Medical Laboratory | 9101 Cherry Ln Ste 213, Laurel, MD 20708-1151 | 2020-08-10 |
| 1467070672 | Diverse Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 214, Owings Mills, MD 21117-3902 | 2020-07-14 |
| 1669095600 | Aeon Technologies, LLC | Clinical Medical Laboratory | 1 Technology Dr Ste 1600, Frostburg, MD 21532-2499 | 2020-05-26 |
| 1093336349 | Personalized Medicine Care Diagnostics LLC | Clinical Medical Laboratory | 20271 Goldenrod Ln Fl 2, Germantown, MD 20876-4064 | 2020-04-28 |
| 1164058525 | Parj Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 211, Owings Mills, MD 21117-3902 | 2020-03-18 |
| 1437785896 | Meta Science LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 213, Owings Mills, MD 21117-3902 | 2020-03-18 |
| 1154956159 | Almat Bio Solutions LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 212, Owings Mills, MD 21117-3902 | 2020-03-10 |
| 1689206112 | Applied Immunogenetics Laboratory | Clinical Medical Laboratory | 11419 Cronridge Dr Ste 17, Owings Mills, MD 21117-6283 | 2020-02-12 |
| 1033749296 | Mprobe Inc | Clinical Medical Laboratory | 9600 Medical Center Dr Ste 300, Rockville, MD 20850-6329 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
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.