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1881760767 NPI number — KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC

NPI Number: 1881760767
Health Care Provider/Practitioner: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC

Information about “1881760767” NPI (KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC) exists in 1881760767 in HTML format HTML  |  1881760767 in plain Text format TXT  |  1881760767 in PDF (Portable Document Format) PDF  |  1881760767 in an XML format XML  formats.

NPI Number : 1881760767 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881760767",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC",
    "ParentOrgTIN": null,
    "OrgName": "KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4000 GARDEN CITY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HYATTSVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20785-2418",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-816-2424",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5999 BURKE COMMONS ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22015-2880",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-249-7750",
    "PracticeLocationAddressFaxNumber": "703-249-7776",
    "EnumerationDate": "11/24/2006",
    "LastUpdateDate": "10/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SWINTON",
    "AuthorizedOfficialFirstName": "COLLEEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTIALING DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "301-257-2797",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336M0003X",
        "TaxonomyName": "Managed Care Organization Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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