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PROVIDENCE HEALTH SERVICES
NPI 1619245222
Family Medicine in Washington, DC

Active since December 09, 2011
128 M ST NW, WASHINGTON, DC 20001(202) 682-3840(202) 682-3854 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Health Services NPPES

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

PROVIDENCE HEALTH SERVICES (NPI 1619245222) is a healthcare organization registered as a family medicine in Washington, District Of Columbia and active in the NPI registry since December 2011. The organization maintains a secondary practice location in Washington and lists Beau Higginbotham, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1619245222
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH SERVICES, INC
Location Address128 M ST NWWashington, DC 20001-1205
Mailing Address1150 Varnum St Ne Rm 407Washington, DC 20017-2180 · (202) 854-4069 · Fax (202) 854-7825
Phone(202) 682-3840
Fax(202) 682-3854
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothamVice President/coo · (410) 638-3162
Enumeration DateDecember 9, 2011
Last NPPES UpdateFebruary 6, 2020
✔ NPI 1619245222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
128 M ST NW, Washington, DC 20001
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Other Names 1

Other NameProvidence Health Services

Secondary Practice Location 1

Location 11150 Varnum St NE Rm 407Washington, DC 20017-2180 · Phone (202) 854-4069 · Fax (202) 854-7825

Other Identifiers 1

Medicaid023435102DC

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIESAK W. ASFAW
Nurse Practitioner (Family)
128 M ST NW
WASHINGTON, DC 20001
District of Columbia (202) 854-3840
BRIGHT BEGINNINGS,INC
Psychologist (Clinical Child & Adolescent)
128 M ST NW
WASHINGTON, DC 20001
District of Columbia (202) 617-4681
CONSTANCE AFUA OPPONG NP
Nurse Practitioner (Family)
128 M ST NW
WASHINGTON, DC 20001
District of Columbia (202) 854-3840
CECILLIA TSAO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
128 M ST NW
WASHINGTON, DC 20001
District of Columbia (202) 854-3840
MARY JOSEPHINE STEIN CFNP
Nurse Practitioner (Family)
128 M ST NW, PERRY FAMILY HEALTH CENTER
WASHINGTON, DC 20001
District of Columbia (202) 682-3840

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 Providence Health Services, Inc's NPI number?

The NPI number for Providence Health Services, Inc is 1619245222. It was assigned to this organization in the NPPES registry on December 9, 2011. The provider is also known as Providence Health Services.

Where is Providence Health Services, Inc located?

Providence Health Services, Inc is located at 128 M St NW, Washington, DC 20001. The listed phone number is (202) 682-3840.

What is Providence Health Services, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health Services, Inc was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.