PROVIDENCE HOSPITAL
NPI 1669453809
Family Medicine in Washington, DC

Q: What is Providence Health Services Inc's NPI number?

The NPI number for Providence Health Services Inc is 1669453809. It was assigned to this organization in the NPPES registry on November 6, 2005. The provider is also known as Providence Hospital.

Q: What is Providence Health Services Inc's specialty?

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

Active since November 06, 2005

1160 VARNUM ST NE, WASHINGTON, DC 20017(202) 854-7000(202) 269-7160 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 1, 2023, Aug 16, 2017, Jan 25, 2017 and 1 more (4 updates tracked since 2016).

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About Providence Hospital NPPES

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

PROVIDENCE HOSPITAL (NPI 1669453809) is a healthcare organization registered as a family medicine in Washington, District Of Columbia and active in the NPI registry since November 2005. The organization maintains a secondary practice location in Washington and lists Mitchell Lomax, Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1669453809

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH SERVICES INC

Location Address1160 VARNUM ST NEWashington, DC 20017-2107

Mailing Address1150 Varnum St Ne, Administration 4th FloorWashington, DC 20017-2149 · (202) 854-4255 · Fax (202) 854-7160

Phone(202) 854-7000

Fax(202) 269-7160

Organization SubpartYesParent: Providence Hospital

Authorized OfficialMitchell LomaxVice President/cfo · (667) 234-2926

Enumeration DateNovember 6, 2005

Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1669453809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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.

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedCase ManagementTaxonomy 251B00000X · License HFD01-0212 (DC)

Also ListedNurse PractitionerTaxonomy 363L00000X

1160 VARNUM ST NE, Washington, DC 20017

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Other Names 1

Other NameProvidence Hospital

Secondary Practice Location 1

Location 11150 Varnum St NEWashington, DC 20017-2104 · Phone (202) 854-4069 · Fax (202) 854-7825

Other Identifiers 6

Medicaid023435102DC

Medicaid023435100DC

Medicaid080352200DC

Medicaid5485215 00DC

Medicaid023435101MD

Medicaid5485215 01MD

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 Providence Health Services Inc's NPI number?

The NPI number for Providence Health Services Inc is 1669453809. It was assigned to this organization in the NPPES registry on November 6, 2005. The provider is also known as Providence Hospital.

Where is Providence Health Services Inc located?

Providence Health Services Inc is located at 1160 Varnum St NE, Washington, DC 20017. The listed phone number is (202) 854-7000.

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 November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.