NPIMap

Organization Active NPI

Mid Atlantic Pemanente Medical Group

  • Health Maintenance Organization
  • Rockville, MD
National Provider Identifier
1811062763
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MID ATLANTIC PEMANENTE MEDICAL GROUP
Practice address
2101 East Jefferson Street
Rockville, MD 20852-4908
Phone
(301) 816-7446
Fax
(301) 816-7170
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sharon I Taylor
Title
Vice President of Finance
Phone
(301) 816-6674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2101 East Jefferson Street
Rockville, MD 20852-4908

Mailing address

Kaiser Permanente Data Management
2101 E Jefferson Street 3 West Attention Sanjay Mathur
Rockville, MD 20852-4908
Phone (301) 816-7446

National Provider Directory

National Provider Directory

Locations

2100 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 872-7000

1011 N Capitol St NE
Washington, DC 20002
Phone (202) 898-5100

7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700

201 N Washington St
Falls Church, VA 22046
Phone (703) 237-4000

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811062763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KAISER PERMANENTE DATA MANAGEMENT",
            "address_2": "2101 E JEFFERSON STREET 3 WEST ATTENTION SANJAY MATHUR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-7446",
            "fax_number": "301-816-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 EAST JEFFERSON STREET",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-7446",
            "fax_number": "301-816-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC PEMANENTE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "301-816-6674",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.