PROVIDENCE HEALTH SERVICES
NPI 1487922803
Surgery in Glenn Dale, MD

NPI Status: Active since December 13, 2011

Contact Information

12200 ANNAPOLIS RD
SUITE 123
GLENN DALE, MD
ZIP 20769
Phone: (202) 448-4014
Fax: (202) 372-0029

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  • Organization
  • Surgery

About PROVIDENCE HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Providence Health Services, a provider established in Glenn Dale, Maryland operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1487922803 assigned on December 2011. The practitioner's primary taxonomy code is 208600000X with license number HFD01-0212 (DC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Providence Health Services. The authorized official of this NPI record is Beau Higginbotham (Vice President/coo)

NPI
1487922803
Provider Legal Name
PHS GLENN DALE
Other Organization Name
PROVIDENCE HEALTH SERVICES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
12200 ANNAPOLIS RD SUITE 123 GLENN DALE, MD 20769
Location Phone
(202) 448-4014
Location Fax
(202) 372-0029
Mailing Address
1160 VARNUM ST NE ST CATHERINE'S HALL, ROOM 102 WASHINGTON, DC 20017
Mailing Phone
(202) 854-4069
Mailing Fax
(202) 372-0029
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-13-2011
Last Update Date
10-09-2017
Code Navigator

A surgeon like Providence Health Services treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
HFD01-0212
License State
DC
Taxonomy Description
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.

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)

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 HIGGINBOTHAM

Authorized Official Title
VICE PRESIDENT/COO
Authorized Official Phone
(410) 368-3162

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
09810714MEDICAID (05)VA 
029833400MEDICAID (05)DC 
005145400MEDICAID (05)MD 
090006MEDICARE PIN (08) 

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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 1487922803, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 8 → 16 → 7 9 → 18 → 9 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 1 + 8 + 2 + 4 + 8 + 0 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1487922803.

Other Providers at the Same Location


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

Internal Medicine
12200 ANNAPOLIS RD, STE 316
GLENN DALE, MD 20769
Internal Medicine
12200 ANNAPOLIS RD, SUITE 229
GLENN DALE, MD 20769
Internal Medicine
12200 ANNAPOLIS RD, SUITE 229
GLENN DALE, MD 20769
Dentist (Oral and Maxillofacial Pathology)
12200 ANNAPOLIS RD, SUITE 236-240
GLENN DALE, MD 20769
Dermatology
12200 ANNAPOLIS RD, SUITE 315
GLENN DALE, MD 20769
Chiropractor
12200 ANNAPOLIS RD, 221
GLENN DALE, MD 20769
Internal Medicine
12200 ANNAPOLIS RD, SUITE 232
GLENN DALE, MD 20769
Nurse Practitioner (Adult Health)
12200 ANNAPOLIS RD, SUITE 232
GLENN DALE, MD 20769
Clinic/Center (Ambulatory Surgical)
12200 ANNAPOLIS RD, SUITE 220
GLENN DALE, MD 20769
Specialist
12200 ANNAPOLIS RD, #315
GLENN DALE, MD 20769
Anesthesiology
12200 ANNAPOLIS RD, SUITE 123
GLENN DALE, MD 20769
Ophthalmology
12200 ANNAPOLIS RD, SUITE 116
GLENN DALE, MD 20769
Massage Therapist
12200 ANNAPOLIS RD, SUITE 221
GLENN DALE, MD 20769
Occupational Therapist
12200 ANNAPOLIS RD, SUITE 225
GLENN DALE, MD 20769
Physical Therapist (Orthopedic)
12200 ANNAPOLIS RD, SUITE 119
GLENN DALE, MD 20769
Family Medicine
12200 ANNAPOLIS RD, SUITE 115
GLENN DALE, MD 20769
Family Medicine
12200 ANNAPOLIS RD, SUITE 115
GLENN DALE, MD 20769
Obstetrics & Gynecology
12200 ANNAPOLIS RD, SUITE# 123
GLENN DALE, MD 20769
Ophthalmology
12200 ANNAPOLIS RD, SUITE 116
GLENN DALE, MD 20769
Surgery (Vascular Surgery)
12200 ANNAPOLIS RD, STE 123
GLENN DALE, MD 20769

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487922803, enumerated as an "organization" on December 13, 2011.

The provider is located at 12200 ANNAPOLIS RD SUITE 123 GLENN DALE, MD 20769 and the phone number is (202) 448-4014.

Surgery with taxonomy code 208600000X.

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