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PROVIDENCE HEALTH SERVICES
NPI 1326316936
Internal Medicine in Washington, DC

Active since December 09, 2011
1140 VARNUM ST NE, PMB 202, WASHINGTON, DC 20017(202) 854-4242(202) 854-4245 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health Services NPPES

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

PROVIDENCE HEALTH SERVICES (NPI 1326316936) is a healthcare organization registered as an internal medicine in Washington, District Of Columbia and active in the NPI registry since December 2011. The organization lists Charles F Haberkern, Vp, as its authorized official.

NPPES Registry Identity

NPI1326316936
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePHS INTERNAL MEDICINE PMB202
Location Address1140 VARNUM ST NE, PMB 202Washington, DC 20017-2151
Mailing Address1160 Varnum St Ne, St Catherine's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825
Phone(202) 854-4242
Fax(202) 854-4245
Organization SubpartYesParent: Providence Hospital
Authorized OfficialCharles F HaberkernVp · (202) 854-4255
Enumeration DateDecember 9, 2011
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1326316936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License HFD01-0212 (DC)
1140 VARNUM ST NE, Washington, DC 20017
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Other Names 1

Other NameProvidence Health Services

Other Identifiers 4

Medicare PIN090006
Medicaid09810714VA
Medicaid029833400DC
Medicaid005145400MD

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.

NANA YAW ASAMOAH-MENSAH M.D.
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE 205
WASHINGTON, DC 20017
District of Columbia (202) 269-0499
WILLIAM E. MORRIS, M.D., PC
Ophthalmology
1140 VARNUM ST NE, SUITE B010
WASHINGTON, DC 20017
District of Columbia (202) 832-1522
DR. DAL YOO M.D.
Internal Medicine (Hematology & Oncology)
1140 VARNUM ST NE, STE 102
WASHINGTON, DC 20017
District of Columbia (202) 636-3811
DR. KENNETH IAN AUSTIN MD
Internal Medicine
1140 VARNUM ST NE, SUITE # 201
WASHINGTON, DC 20017
District of Columbia (202) 832-4200
STEPHEN M SEABRON M. D.
Internal Medicine
1140 VARNUM ST NE, 209
WASHINGTON, DC 20017
District of Columbia (202) 526-8898
WILLIAM PETERSON M.D.
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE #101
WASHINGTON, DC 20017
District of Columbia (202) 526-2509
CAPITAL CONSULTING SERVICES, LLC
Internal Medicine (Nephrology)
1140 VARNUM ST NE, PMB 105
WASHINGTON, DC 20017
District of Columbia (202) 269-6430
DR. PEDRO RICARDO CEPPA MD
Surgery
1140 VARNUM ST NE, STE 104
WASHINGTON, DC 20017
District of Columbia (202) 832-8320

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 Pmb202's NPI number?

The NPI number for Phs Internal Medicine Pmb202 is 1326316936. It was assigned to this organization in the NPPES registry on December 9, 2011. The provider is also known as Providence Health Services.

Where is Phs Internal Medicine Pmb202 located?

Phs Internal Medicine Pmb202 is located at 1140 Varnum St NE Pmb 202, Washington, DC 20017. The listed phone number is (202) 854-4242.

What is Phs Internal Medicine Pmb202'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 Pmb202 was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.