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PROVIDENCE HEALTH SERVICES
NPI 1124496013
Internal Medicine in Washington, DC

Active since September 09, 2015
1160 VARNUM ST NE, DEPAUL 311, WASHINGTON, DC 20017(202) 854-4470(202) 854-4471 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH SERVICES (NPI 1124496013) is a healthcare organization registered as an internal medicine in Washington, District Of Columbia and active in the NPI registry since September 2015. The organization lists Beau Higginbotham, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1124496013
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePHS INTERNAL MEDICINE DP311
Location Address1160 VARNUM ST NE, DEPAUL 311Washington, DC 20017-2107
Mailing Address1160 Varnum St Ne, St Catherine's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825
Phone(202) 854-4470
Fax(202) 854-4471
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothamVice President/coo · (410) 368-3162
Enumeration DateSeptember 9, 2015
Last NPPES UpdateOctober 10, 2017
✔ NPI 1124496013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · HFD01-0212
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1160 VARNUM ST NE, Washington, DC 20017
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Other Names 1

Doing Business AsProvidence Health Services

Other Identifiers 1

Medicare PIN726277DC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. UCHENNA ANTHONIA OBICHERE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1160 VARNUM ST NE, SUITE 317
WASHINGTON, DC 20017
District of Columbia (202) 636-1130
PHS INTERNAL MEDICINE DP317
Internal Medicine
1160 VARNUM ST NE, DEPAUL 317
WASHINGTON, DC 20017
District of Columbia (202) 640-4837
YULIZA ABIGAIL LEMUS GAMES
Behavior Technician
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 525-1448
ANITA KUNWAR MD
Internal Medicine
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 854-7785
RESOURCE PHARMACY INCORPORATED
Pharmacist
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 832-2200
PHS MULTISPECIALTY SERVICES
Surgery
1160 VARNUM ST NE, DEPAUL 300
WASHINGTON, DC 20017
District of Columbia (202) 854-4014
BRANDI DENISE FISHER
Behavior Technician
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 525-1448
STUART LAWRENCE HORWITZ MD
Internal Medicine (Gastroenterology)
1160 VARNUM ST NE, 311
WASHINGTON, DC 20017
District of Columbia (202) 832-2880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phs Internal Medicine Dp311's NPI number?

The NPI number for Phs Internal Medicine Dp311 is 1124496013. It was assigned to this organization in the NPPES registry on September 9, 2015. The provider is doing business as Providence Health Services.

Where is Phs Internal Medicine Dp311 located?

Phs Internal Medicine Dp311 is located at 1160 Varnum St NE Depaul 311, Washington, DC 20017. The listed phone number is (202) 854-4470.

What is Phs Internal Medicine Dp311's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Phs Internal Medicine Dp311 was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.