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PROVIDENCE HEALTH SERVICES
NPI 1700040466
Obstetrics & Gynecology in Washington, DC

Active since July 11, 2008
1150 VARNUM ST NE, WASHINGTON, DC 20017(202) 269-7000(202) 269-7825 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health Services NPPES

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

PROVIDENCE HEALTH SERVICES (NPI 1700040466) is a healthcare organization registered as an obstetrics & gynecology in Washington, District Of Columbia and active in the NPI registry since July 2008. The organization lists Beau Higginbotham, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1700040466
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePROVIDENCE HEALTH SERVICES
Location Address1150 VARNUM ST NEWashington, DC 20017-2149
Mailing Address1150 Varnum St NeWashington, DC 20017-2149 · (202) 269-7000 · Fax (202) 269-7825
Phone(202) 269-7000
Fax(202) 269-7825
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothamVice President/coo · (410) 368-3162
Enumeration DateJuly 11, 2008
Last NPPES UpdateOctober 10, 2017
✔ NPI 1700040466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in DC · HFD01-0212
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1150 VARNUM ST NE, Washington, DC 20017
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Other Identifiers 1

Medicaid317201500MD

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.

JOEL BOWERS M.D.
Radiology (Diagnostic Radiology)
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 269-7000
DR. VANI PADMANABHA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1150 VARNUM ST NE, PATHOLOGY DEPARTMENT
WASHINGTON, DC 20017
District of Columbia (202) 269-7272
AIN-ALEM SEYOUM PA
Physician Assistant
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 269-7000
CEP AMERICA - ANESTHESIA PC
Anesthesiology
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 854-7000
NAMMAN N HALABI MD
Emergency Medicine
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 269-7000
DR. MARCY J OPPENHEIMER M.D.
Family Medicine
1150 VARNUM ST NE, ST. CATHERINE'S HALL/1ST FL/RM 102
WASHINGTON, DC 20017
District of Columbia (202) 854-4812
EKTA GUPTA M.D
Internal Medicine
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 269-7874
DOMENIC DEROBERTIS CAA
Anesthesiologist Assistant
1150 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 854-7000

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's NPI number?

The NPI number for Providence Health Services is 1700040466. It was assigned to this organization in the NPPES registry on July 11, 2008.

Where is Providence Health Services located?

Providence Health Services is located at 1150 Varnum St NE, Washington, DC 20017. The listed phone number is (202) 269-7000.

What is Providence Health Services's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Providence Health Services was last updated on October 10, 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.