PROVIDENCE HEALTH SERVICES
NPI 1457730244
Surgery in Washington, DC

Q: What is Phs Gen Surg Dp306's NPI number?

The NPI number for Phs Gen Surg Dp306 is 1457730244. It was assigned to this organization in the NPPES registry on May 26, 2015. The provider is doing business as Providence Health Services.

Q: What is Phs Gen Surg Dp306's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 26, 2015

1160 VARNUM ST NE, DEPAUL 306, WASHINGTON, DC 20017(202) 854-4069(202) 854-7825 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Providence Health Services NPPES

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

PROVIDENCE HEALTH SERVICES (NPI 1457730244) is a healthcare organization registered as a surgery in Washington, District Of Columbia and active in the NPI registry since May 2015. The organization lists Beau Higginbotham, President/coo, as its authorized official.

NPPES Registry Identity

NPI1457730244

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePHS GEN SURG DP306

Location Address1160 VARNUM ST NE, DEPAUL 306Washington, DC 20017-2107

Mailing Address1160 Varnum St Ne, St Catherines's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825

Phone(202) 854-4069

Fax(202) 854-7825

Organization SubpartYesParent: Providence Hospital

Authorized OfficialBeau HigginbothamPresident/coo · (410) 368-3162

Enumeration DateMay 26, 2015

Last NPPES UpdateOctober 9, 2017

✔ NPI 1457730244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in DC · HFD01-0212

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1160 VARNUM ST NE, Washington, DC 20017

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Other Names 1

Doing Business AsProvidence Health Services

Other Identifiers 1

Medicare PIN602021DC

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.

MS. UCHENNA ANTHONIA OBICHERE CRNP

Nurse Practitioner (Psychiatric/Mental Health)

1160 VARNUM ST NE, SUITE 317
WASHINGTON, DC 20017

District of Columbia (202) 636-1130

PHS INTERNAL MEDICINE DP317

Internal Medicine

1160 VARNUM ST NE, DEPAUL 317
WASHINGTON, DC 20017

District of Columbia (202) 640-4837

YULIZA ABIGAIL LEMUS GAMES

Behavior Technician

1160 VARNUM ST NE
WASHINGTON, DC 20017

District of Columbia (202) 525-1448

ANITA KUNWAR MD

Internal Medicine

1160 VARNUM ST NE
WASHINGTON, DC 20017

District of Columbia (202) 854-7785

RESOURCE PHARMACY INCORPORATED

Pharmacist

1160 VARNUM ST NE
WASHINGTON, DC 20017

District of Columbia (202) 832-2200

PHS MULTISPECIALTY SERVICES

Surgery

1160 VARNUM ST NE, DEPAUL 300
WASHINGTON, DC 20017

District of Columbia (202) 854-4014

PHS INTERNAL MEDICINE DP311

Internal Medicine

1160 VARNUM ST NE, DEPAUL 311
WASHINGTON, DC 20017

District of Columbia (202) 854-4470

BRANDI DENISE FISHER

Behavior Technician

1160 VARNUM ST NE
WASHINGTON, DC 20017

District of Columbia (202) 525-1448

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 Gen Surg Dp306's NPI number?

The NPI number for Phs Gen Surg Dp306 is 1457730244. It was assigned to this organization in the NPPES registry on May 26, 2015. The provider is doing business as Providence Health Services.

Where is Phs Gen Surg Dp306 located?

Phs Gen Surg Dp306 is located at 1160 Varnum St NE Depaul 306, Washington, DC 20017. The listed phone number is (202) 854-4069.

What is Phs Gen Surg Dp306's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Phs Gen Surg Dp306 was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.