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PHS OTOLARYNGOLOGY PMB200
NPI 1366710766
Otolaryngology in Washington, DC

Active since December 13, 2011
1140 VARNUM ST NE, PMB 200, WASHINGTON, DC 20017(202) 854-4355(202) 854-4398 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phs Otolaryngology Pmb200 NPPES

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

PHS OTOLARYNGOLOGY PMB200 (NPI 1366710766) is a healthcare organization registered as an otolaryngology in Washington, District Of Columbia and active in the NPI registry since December 2011. The organization lists Beau Higginbothan, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1366710766
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePROVIDENCE HEALTH SERVICES, INC
Location Address1140 VARNUM ST NE, PMB 200Washington, 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) 854-4355
Fax(202) 854-4398
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothanVice President/coo · (410) 368-3182
Enumeration DateDecember 13, 2011
Last NPPES UpdateFebruary 1, 2018
✔ NPI 1366710766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in DC · HFD01-0212
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License HFD01-0212 (DC)
1140 VARNUM ST NE, Washington, DC 20017
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Other Names 1

Doing Business AsPhs Otolaryngology Pmb200

Other Identifiers 1

Medicaid548521500MD

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.

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 Providence Health Services, Inc's NPI number?

The NPI number for Providence Health Services, Inc is 1366710766. It was assigned to this organization in the NPPES registry on December 13, 2011. The provider is doing business as Phs Otolaryngology Pmb200.

Where is Providence Health Services, Inc located?

Providence Health Services, Inc is located at 1140 Varnum St NE Pmb 200, Washington, DC 20017. The listed phone number is (202) 854-4355.

What is Providence Health Services, Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Providence Health Services, Inc was last updated on February 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.