Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Other names
Kaiser Permanente
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
COLLEEN E SWINTON (DIRECTOR,CREDENTIALING/PROVIDER ENR)
(301) 257-2797
Entity
Organization
Contact information
Practice address
KAISER PERMANENTE-SOUTH BALTIMORE, 1701 TWIN SPRINGS ROAD, HALETHORPE, MD 21227-3553
(410) 737-5000
(443) 263-7381
Mailing address
4000 GARDEN CITY DRIVE, 4TH FLOOR PPQA, HYATTSVILLE, MD 20785-2418
(301) 816-2424
(301) 816-7170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
163WP0200X
Pediatric Registered Nurse
—
—
207K00000X
Allergy & Immunology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K679
MEDICARE GROUP ID
MD
Enumeration date
12/05/2006
Last updated
07/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us