Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Organization Active NPI Health Service Clinic/Center · Gaithersburg, MD
NPI 1295373371 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1295373371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
- Practice address
- 655 Watkins Mill Rd
Gaithersburg, MD 20879-3301 - Phone
- (240) 632-4000
- NPI assigned
- Dec 19, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
- Name
- Colleen Swinton
- Title
- Director, Credentialing
- Phone
- (301) 257-2797
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Kaiser Found HLTH Plan
- Part of
- Kaiser Found HLTH Plan
Locations
6104 Old Branch Ave
Temple Hills, MD 20748
Phone (301) 702-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
655 Watkins Mill Rd
Gaithersburg, MD 20879-3301
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Phone (301) 816-2424
Other names
- Gaithersburg Medical Center DPP
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Gaithersburg, MD
- Ji Young Jung
- Carol Kline Juran
- K a N Healthcare
- Aline Antoinette Kadji-Tedjeu
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
All providers in Gaithersburg, MD · Health Service Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.