PHS OTOLARYNGOLOGY PMB200
NPI 1366710766
Otolaryngology in Washington, DC

NPI Status: Active since December 13, 2011

Contact Information

1140 VARNUM ST NE
PMB 200
WASHINGTON, DC
ZIP 20017
Phone: (202) 854-4355
Fax: (202) 854-4398

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  • Organization
  • Otolaryngology

About PHS OTOLARYNGOLOGY PMB200

This page provides the complete NPI Profile along with additional information for Phs Otolaryngology Pmb200, a provider established in Washington, District Of Columbia operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1366710766 assigned on December 2011. The practitioner's primary taxonomy code is 207Y00000X with license number HFD01-0212 (DC). The provider is registered as an organization and their NPI record was last updated 8 years ago. Phs Otolaryngology Pmb200 operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Phs Otolaryngology Pmb200. The authorized official of this NPI record is Beau Higginbothan (Vice President/coo)

NPI
1366710766
Provider Legal Name
PROVIDENCE HEALTH SERVICES, INC
Other Organization Name
PHS OTOLARYNGOLOGY PMB200
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1140 VARNUM ST NE PMB 200 WASHINGTON, DC 20017
Location Phone
(202) 854-4355
Location Fax
(202) 854-4398
Mailing Address
1160 VARNUM ST NE ST CATHERINE'S HALL, ROOM 102 WASHINGTON, DC 20017
Mailing Phone
(202) 854-4069
Mailing Fax
(202) 854-4398
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-13-2011
Last Update Date
02-01-2018
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
HFD01-0212
License State
DC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1282N00000XHospitals

General Acute Care Hospital

HFD01-0212 (DC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BEAU HIGGINBOTHAN

Authorized Official Title
VICE PRESIDENT/COO
Authorized Official Phone
(410) 368-3182

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
548521500MEDICAID (05)MD 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366710766, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 4 + 1 + 0 + 7 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1366710766.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
1140 VARNUM ST NE, STE 104
WASHINGTON, DC 20017
Specialist
1140 VARNUM ST NE, SUITE 102
WASHINGTON, DC 20017
Internal Medicine (Cardiovascular Disease)
1140 VARNUM ST NE, STE 040
WASHINGTON, DC 20017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1140 VARNUM ST NE, SUITE 202
WASHINGTON, DC 20017
Physician Assistant (Medical)
1140 VARNUM ST NE, DR. STEPHEN SEABRON
WASHINGTON, DC 20017
Internal Medicine
1140 VARNUM ST NE, SUITE 208B
WASHINGTON, DC 20017
Registered Nurse (General Practice)
1140 VARNUM ST NE
WASHINGTON, DC 20017
Surgery
1140 VARNUM ST NE
WASHINGTON, DC 20017
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE 205
WASHINGTON, DC 20017
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE #101
WASHINGTON, DC 20017
Family Medicine
1140 VARNUM ST NE, SUITE 105
WASHINGTON, DC 20017
Ophthalmology
1140 VARNUM ST NE, SUITE B010
WASHINGTON, DC 20017
Specialist
1140 VARNUM ST NE, # 215
WASHINGTON, DC 20017
Specialist
1140 VARNUM ST NE, SUITE 103
WASHINGTON, DC 20017
Surgery
1140 VARNUM ST NE, SUITE #102
WASHINGTON, DC 20017
Specialist
1140 VARNUM ST NE, 102
WASHINGTON, DC 20017
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE #101
WASHINGTON, DC 20017
Internal Medicine
1140 VARNUM ST NE, SUITE 102
WASHINGTON, DC 20017
Internal Medicine
1140 VARNUM ST NE, 209
WASHINGTON, DC 20017
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE #205
WASHINGTON, DC 20017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366710766, enumerated as an "organization" on December 13, 2011.

The provider is located at 1140 VARNUM ST NE PMB 200 WASHINGTON, DC 20017 and the phone number is (202) 854-4355.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.