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PROVIDENCE HEALTH SERVICES
NPI 1457693012
Internal Medicine - Infectious Disease in Washington, DC

Active since March 21, 2013
1140 VARNUM ST NE, PMB107, WASHINGTON, DC 20017(202) 854-4052(202) 854-4832 Get Directions Write a Review

NPPES record last updated: September 6, 2016. 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 1457693012) is a healthcare organization registered as an infectious disease in Washington, District Of Columbia and active in the NPI registry since March 2013. The organization lists Charles F Haberkern, Vp, as its authorized official.

NPPES Registry Identity

NPI1457693012
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NamePHS MEDICAL SPECIALISTS PMB107
Location Address1140 VARNUM ST NE, PMB107Washington, 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) 854-4052
Fax(202) 854-4832
Organization SubpartYesParent: Providence Hospital
Authorized OfficialCharles F HaberkernVp · (202) 854-4255
Enumeration DateMarch 21, 2013
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1457693012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in DC · HFD01-0212
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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

Medicaid09810714VA
Medicaid005145400MD
Medicare PIN090006
Medicaid029833400DC

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 Medical Specialists Pmb107's NPI number?

The NPI number for Phs Medical Specialists Pmb107 is 1457693012. It was assigned to this organization in the NPPES registry on March 21, 2013. The provider is also known as Providence Health Services.

Where is Phs Medical Specialists Pmb107 located?

Phs Medical Specialists Pmb107 is located at 1140 Varnum St NE Pmb107, Washington, DC 20017. The listed phone number is (202) 854-4052.

What is Phs Medical Specialists Pmb107's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for Phs Medical Specialists Pmb107 was last updated on September 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.