Provider Type Icon

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC NPI 1922371244


NPI Information

NPI: 1922371244
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC

Doing Business As: TYSONS CORNER MEDICAL CENTER AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
8008 WESTPARK DR
MC LEAN, VA
ZIP 22102
Phone: (703) 490-8400
Get Directions

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC is an ambulatory surgical clinic center in Mc Lean, VA. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC NPI is 1922371244. The provider is registered as an organization entity type.
The provider Is Doing Business As Tysons Corner Medical Center Ambulatory Surgery Center.

The provider's business location address is:

8008 WESTPARK DR
MC LEAN, VA
ZIP 22102-109
Phone: (703) 490-8400

The provider's authorized official is Andee G Petersen .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 816-5760.

The enumeration date for this NPI number is 2/16/2012 and was last updated on 5/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.