Kaiser Permanente Mid-Atlantic

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0103000949 Issued in VA

Legal business name

KAISER PERMANENTE MID-ATLANTIC

Practice address

6501 Loisdale CT
Springfield, VA 22150-1826

Phone

(703) 922-1034

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eleanor Anne Wilson, DPMNPI 1215003546

Title

Podiatrist

Phone

(703) 922-1034

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eleanor Anne Wilson, DPM

  • Podiatrist
  • Springfield, VA
  • NPI 1215003546
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1043438740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 GOOD LION CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154623",
            "telephone_number": "703-922-1034",
            "fax_number": "703-922-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 LOISDALE CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501826",
            "telephone_number": "703-922-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE MID-ATLANTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "703-922-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0103000949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Springfield Medical Center)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Springfield Laboratory)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Springfield Pharmacy)
• Kaiser Permanente
• Kaiser Permanente
• Kauser Kaleem, NP
• Ishmail Kamara, N.P.
• Jinhee Kang, PH,D ECSE
• Sulin Kang
• Leah M Kania

• Health Maintenance Organization in Springfield, VA
• Providers in Springfield, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.