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


Address: 1396 Piccard Drive, Rockville, MD 20850-4302
Phone: 3015485700

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC (NPI# 1902971849) 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) 1902971849
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Other Organization Name SHADY GROVE MEDICAL LABORATORY
Practice Address 1396 Piccard Drive
Rockville
MD 20850-4302
Mailing Address 2101 E Jefferson St
Permanenete Data Management Department 3 West
Rockville
MD 20850-4908
Practice Telephone 3015485700
Practice Fax Number 3015723221
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
Shady Grove Medical Laboratory Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
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

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 1396 PICCARD DRIVE
City ROCKVILLE
State MD
Zip Code 20850-4302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063577310 Joel P Kalman Internal Medicine 1396 Piccard Drive, Rockville, MD 20850-4302 2006-12-27
1477614998 Joshua H Kolko Family Medicine 1396 Piccard Drive, Rockville, MD 20850-4301 2006-12-12
1780745059 Miki Moy Darling Family Medicine 1396 Piccard Drive, Rockville, MD 20850-4908 2006-12-12
1871651349 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 1396 Piccard Drive, Rockville, MD 20850-4302 2006-12-05
1770651788 Lauren Elise Cosgrove Family Medicine 1396 Piccard Drive, Rockville, MD 20850-4302 2006-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1750924205 Omer N Pamuk Internal Medicine 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 2019-10-28
1902456502 Fousseyni M Diawara Radiologic Technologist 1680 E Gude Dr Ste 302, Rockville, MD 20850 2019-09-16
1104485697 Barbara S Delsack Speech-Language Pathologist Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 2019-06-10
1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
1417421843 Wei Li Acupuncturist 9600 Blackwell Road. Suite 300, Rockville, MD 20850 2019-01-18
1881168805 Heather Jean Scurtu Mann Psychologist Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 2019-01-12
1295208486 Laura Hanley Physical Therapy Assistant The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 2019-01-10
1538641964 Shamire Pierre-louis Speech-Language Pathologist 2 Research Place, Rockville, MD 20850 2018-09-01
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033749296 Mprobe Inc Clinical Medical Laboratory 9600 Medical Center Dr Ste 300, Rockville, MD 20850-6329 2020-01-16
1831749118 Next Bio-research Services, LLC. Clinical Medical Laboratory 15225 Shady Grove Rd Ste 210, Rockville, MD 20850-3282 2019-09-18
1265097745 Cosmosid Ngs Laboratory Services Clinical Medical Laboratory 1600 E Gude Dr Ste 210, Rockville, MD 20850-1496 2019-05-09
1386116846 Phi Life Sciences LLC Clinical Medical Laboratory 9430 Key West Ave Ste 130, Rockville, MD 20850-6399 2018-12-21
1861913576 Cirrus Dx, Inc. Clinical Medical Laboratory 9901 Belward Campus Dr Ste 300, Rockville, MD 20850-3986 2017-07-03
1972954030 Psomagen Inc Clinical Medical Laboratory 1330 Piccard Drive, Suite 103, Rockville, MD 20850-9993 2016-06-29
1720472889 Macrogen Clinical Laboratory Inc. Clinical Medical Laboratory 1330 Piccard Dr Ste 103, Rockville, MD 20850-4372 2015-03-26
1922424969 Theranostics Health Inc. Clinical Medical Laboratory 15010 Broschart Rd, Suite 200, Rockville, MD 20850-6365 2014-03-14
1346586815 Cellpath Therapeutics, Inc Clinical Medical Laboratory 9700 Great Seneca Hwy, Suite 208, Rockville, MD 20850-3307 2013-01-02
1184971855 Expression Pathology Incorporated Clinical Medical Laboratory 9620 Medical Center Dr, Suite 100, Rockville, MD 20850-3338 2012-08-13
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City ROCKVILLE
Zip Code 20850

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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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