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PROVIDENCE HEALTH SERVICES
NPI 1194985515
Family Medicine in Colmar Manor, MD

Active since June 10, 2008
4151 BLADENSBURG RD, COLMAR MANOR, MD 20722(301) 699-7700(301) 779-9001 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Health Services NPPES

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

PROVIDENCE HEALTH SERVICES (NPI 1194985515) is a healthcare organization registered as a family medicine in Colmar Manor, Maryland and active in the NPI registry since June 2008. The organization lists Timothy Sheridan, Assistant Vp, Practice Mgt Services, as its authorized official.

NPPES Registry Identity

NPI1194985515
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH SERVICES
Location Address4151 BLADENSBURG RDColmar Manor, MD 20722-1928
Mailing Address1150 Varnum St NeWashington, DC 20017-2149 · (202) 269-7286 · Fax (202) 269-7825
Phone(301) 699-7700
Fax(301) 779-9001
Organization SubpartYesParent: Providence Hospital
Authorized OfficialTimothy SheridanAssistant Vp, Practice Mgt Services · (202) 269-7374
Enumeration DateJune 10, 2008
Last NPPES UpdateOctober 9, 2017
✔ NPI 1194985515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DC · HFD01-0212
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License HFD01-0212 (DC)
4151 BLADENSBURG RD, Colmar Manor, MD 20722
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Other Identifiers 1

Medicaid548521501MD

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.

CIARA DANIELLE- EMALI JOHNSON
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (310) 699-7707
DARYLE HOWARD DO
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7707
GEORGETTE NANA AKUA ADAE-MENSAH MD
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7707
PHUC L NGUYEN MD
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7700
HALIMA WHITE MD
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7707
OSCAR FERNANDO HERNANDEZ DO
Student in an Organized Health Care Education/Training Program
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7707
PHS FT LINCOLN FAMILY MEDICINE CTR
Family Medicine
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7700
COURTNEY B SPENSLEY MD
Family Medicine
4151 BLADENSBURG RD
COLMAR MANOR, MD 20722
Prince George's County (301) 699-7700

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 Providence Health Services's NPI number?

The NPI number for Providence Health Services is 1194985515. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Providence Health Services located?

Providence Health Services is located at 4151 Bladensburg Rd, Colmar Manor, MD 20722. The listed phone number is (301) 699-7700.

What is Providence Health Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health Services was last updated on October 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.