OrganizationActive
Kaiser Permanente Mid-Atlantic
NPI 1043438740 · Health Maintenance Organization · Springfield, VA
Provider details
- NPI number
- 1043438740
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Eleanor Wilson, Podiatrist(703) 922-1034
- License
- 0103000949 (VA)
Specialties & taxonomies
Managed Care Organizations
Practice location
6501 Loisdale Ct
Springfield, VA 22150-1826
Phone: (703) 922-1034
Approximate (ZIP-level) locationGet directions
Mailing address
6010 Good Lion Ct
Alexandria, VA 22315-4623
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2008-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.