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PROVIDENCE HEALTH SERVICES
NPI 1538437926
Internal Medicine - Geriatric Medicine in Washington, DC

Active since December 13, 2011
1160 VARNUM ST NE, DEPAUL 021, WASHINGTON, DC 20017(202) 854-7785(202) 854-7734 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Health Services NPPES

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

PROVIDENCE HEALTH SERVICES (NPI 1538437926) is a healthcare organization registered as a geriatric medicine in Washington, District Of Columbia and active in the NPI registry since December 2011. The organization lists Charles F Haberkern, Vp, as its authorized official.

NPPES Registry Identity

NPI1538437926
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePHS CTR FOR GERIATRIC MEDICINE DP021
Location Address1160 VARNUM ST NE, DEPAUL 021Washington, DC 20017-2107
Mailing Address1160 Varnum St Ne, St Catherine's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825
Phone(202) 854-7785
Fax(202) 854-7734
Organization SubpartYesParent: Providence Hospital
Authorized OfficialCharles F HaberkernVp · (202) 854-4255
Enumeration DateDecember 13, 2011
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1538437926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in DC · HFD01-0212
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License HFD01-0212 (DC)
1160 VARNUM ST NE, Washington, DC 20017
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Other Names 1

Other NameProvidence Health Services

Other Identifiers 4

Medicaid029833400DC
Medicaid005145400MD
Medicaid09810714VA
Medicare PIN090006

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 Ctr For Geriatric Medicine Dp021's NPI number?

The NPI number for Phs Ctr For Geriatric Medicine Dp021 is 1538437926. It was assigned to this organization in the NPPES registry on December 13, 2011. The provider is also known as Providence Health Services.

Where is Phs Ctr For Geriatric Medicine Dp021 located?

Phs Ctr For Geriatric Medicine Dp021 is located at 1160 Varnum St NE Depaul 021, Washington, DC 20017. The listed phone number is (202) 854-7785.

What is Phs Ctr For Geriatric Medicine Dp021's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Phs Ctr For Geriatric Medicine Dp021 was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.