KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC (NPI# 1831411628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831411628 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC |
| Other Organization Name | KAISER PERMANENTE WOODLAWN INFUSION PHARMACY |
| Practice Address |
7141 Security Blvd Baltimore MD 21244-1811 |
| Mailing Address |
22370 Davis Dr Suite 190 Sterling VA 20164-5367 |
| Practice Telephone | 4436636435 |
| Practice Fax Number | 4436636430 |
| Mailing Telephone | 7034664800 |
| Mailing Fax Number | 7034664802 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2013-12-23 |
| Authorized Official Name | JOHN CONNERY (PHARMACY BENEFITS COORDINATOR) |
| Authorized Official Telephone | 7034664800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PW0333 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2135146 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Woodlawn Infusion Pharmacy | 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 |
7141 SECURITY BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363885 | Fiona F Meller-azrieli | Internal Medicine | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2005-08-15 |
| 1447898531 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-12-19 |
| 1104385301 | Kisha Mary Selby | Registered Nurse | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-03-18 |
| 1932631918 | Jennifer Taylor Ratta | Dietitian, Registered | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2017-03-30 |
| 1033578364 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2016-02-15 |
| 1376908020 | Renee Farmer | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2015-12-23 |
| 1144656521 | Dennis Artiga De Leon | Physical Therapist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-09-18 |
| 1629413901 | Alexandra Macleod Grimes | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-05-01 |
| 1528309051 | Howard Seto Gwon | Pharmacist | 7141 Security Blvd, Pharmacy, Baltimore, MD 21244-1811 | 2013-03-07 |
| 1255672853 | Karina Elaine Holland | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568407914 | Ald Enterprises, LLC | Pharmacy | 1520 Caton Center Dr, Suite S, Baltimore, MD 21227-1554 | 2006-06-19 |
| 1275606162 | Johns Hopkins Pediatrics At Home, Inc. | Pharmacy | 5901 Holabird Avenue, Suite A, Baltimore, MD 21224-6015 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760455059 | Maryland Respiratory Group Inc | Pharmacy | 5711 Industry Ln, Suite 33, Frederick, MD 21704-8211 | 2006-02-08 |
| 1497759443 | Apple Infusion Inc | Pharmacy | 404b N Fruitland Blvd, Salisbury, MD 21801-7261 | 2005-06-08 |
| 1538585773 | Maryland Pharmacy and Home Infusion, Inc | Pharmacy | 10085 Red Run Blvd, Suite 104 B, Owings Mills, MD 21117-4836 | 2014-03-12 |
| 1245576263 | Iv Solutions LLC | Pharmacy | 10231 Old Ocean City Blvd, Suite 209, Berlin, MD 21811-3566 | 2012-12-19 |
| 1558639286 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3323 | 2011-12-08 |
| 1649323544 | Cais, Inc | Pharmacy | 3 Commerce Dr, Cumberland, MD 21502-1092 | 2007-01-22 |
| 1275697930 | Antietam Health Services, Inc | Pharmacy | 11110 Medical Campus Rd, Suite 105, Hagerstown, MD 21742-6700 | 2006-12-20 |
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.