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PROVIDENCE HEALTH SERVICES, INC
NPI 1134598394
Surgery in Bowie, MD

Active since September 17, 2015
14300 GALLANT FOX LN, SUITE 224, BOWIE, MD 20715(301) 262-8291(301) 262-7740 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health Services, Inc NPPES

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

PROVIDENCE HEALTH SERVICES, INC (NPI 1134598394) is a healthcare organization registered as a surgery in Bowie, Maryland and active in the NPI registry since September 2015. The organization lists Beau Higginbotham, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1134598394
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePHS MULTISPECIALTY SERVICES
Location Address14300 GALLANT FOX LN, SUITE 224Bowie, MD 20715-4003
Mailing Address1160 Varnum St Ne, St Catherine's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825
Phone(301) 262-8291
Fax(301) 262-7740
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothamVice President/coo · (410) 368-3162
Enumeration DateSeptember 17, 2015
Last NPPES UpdateOctober 9, 2017
✔ NPI 1134598394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in DC · HFD01-0212
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
14300 GALLANT FOX LN, Bowie, MD 20715
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Other Names 1

Doing Business AsProvidence Health Services, Inc

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.

DR. RAKESH ARORA M.D.
Family Medicine
14300 GALLANT FOX LN, SUITE 222
BOWIE, MD 20715
Prince George's County (301) 262-7800
RAKESH ARORA M.D. F.A.A. F.P.,P.A.
Family Medicine
14300 GALLANT FOX LN, SUITE 222
BOWIE, MD 20715
Prince George's County (301) 262-7800
DR. JAMES HOWARD WISE PH.D.
Psychologist
14300 GALLANT FOX LN, SUITE 211
BOWIE, MD 20715
Prince George's County (301) 262-2828
KATHLEEN TOMCZYK BOETCHER P.A.
Physician Assistant
14300 GALLANT FOX LN, SUITE 118
BOWIE, MD 20715
Prince George's County (301) 464-3020
MS. MARSHA ROSS LCSW-C
Social Worker (Clinical)
14300 GALLANT FOX LN, SUITE 216
BOWIE, MD 20715
Prince George's County (301) 805-8565
MS. DIANE PISANO LCSW C
Social Worker
14300 GALLANT FOX LN, SUITE 107
BOWIE, MD 20715
Prince George's County (301) 805-5124
RONALD F MOSER, D.D.S., P.A.
Dentist
14300 GALLANT FOX LN, SUITE 208
BOWIE, MD 20715
Prince George's County (301) 464-3500
DR. DIANE L TABER D.C.
Chiropractor
14300 GALLANT FOX LN, SUITE 201
BOWIE, MD 20715
Prince George's County (301) 352-4500

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 Multispecialty Services's NPI number?

The NPI number for Phs Multispecialty Services is 1134598394. It was assigned to this organization in the NPPES registry on September 17, 2015. The provider is doing business as Providence Health Services, Inc.

Where is Phs Multispecialty Services located?

Phs Multispecialty Services is located at 14300 Gallant Fox Ln Suite 224, Bowie, MD 20715. The listed phone number is (301) 262-8291.

What is Phs Multispecialty Services's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Phs Multispecialty Services was last updated on October 9, 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.