KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATESINC NPI 1073678637

NPI Information

  • NPI: 1073678637
  • Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES,INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: TYSONS CORNER MEDICAL CENTER AMBULATORY SURGERY CENTER
  • Address: 8008 WESTPARK DR
    MC LEAN, VA
    ZIP 22102
  • Phone: (703) 490-8400

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NPI Details

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 1073678637. 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 Colleen Swinton .
The authorized official title is Director, Credentialing and has the following contact phone number (301) 257-2797.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 12/2/2024.

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: 3/30/2025

NPI Synchronization or Removal

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