Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN SWINTON (DIRECTOR, CREDENTIALING)
(301) 257-2797
Entity
Organization
Contact information
Practice address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
152W00000X
Optometrist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
213E00000X
Podiatrist
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
04/28/2026
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