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PHS UNITY HEALTHCARE PARKSIDE RADIOLOGY
NPI 1730690801
Clinic/Center - Radiology in Washington, DC

Active since October 17, 2017
765 KENILWORTH TER NE, WASHINGTON, DC 20019(202) 299-1796(202) 388-8164 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phs Unity Healthcare Parkside Radiology NPPES

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

PHS UNITY HEALTHCARE PARKSIDE RADIOLOGY (NPI 1730690801) is a healthcare organization registered as a radiology in Washington, District Of Columbia and active in the NPI registry since October 2017. The organization lists Beau Higginbothan, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1730690801
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePROVIDENCE HEALTH SERVICES, INC
Location Address765 KENILWORTH TER NEWashington, DC 20019-1898
Mailing Address1150 Varnum St Ne, St Catherines Hall, Room 102Washington, DC 20017-2104 · (202) 854-4069 · Fax (202) 854-7825
Phone(202) 299-1796
Fax(202) 388-8164
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothanVice President/coo · (410) 368-3162
Enumeration DateOctober 17, 2017
✔ NPI 1730690801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in DC · HFD01-0212
765 KENILWORTH TER NE, Washington, DC 20019
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Other Names 1

Doing Business AsPhs Unity Healthcare Parkside Radiology

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.

BARBARA DOMINGUEZ APRN, BC
Nurse Practitioner (Family)
765 KENILWORTH TER NE
WASHINGTON, DC 20019
District of Columbia (202) 388-8160
NICKIA KING DO
Family Medicine
765 KENILWORTH TER NE
WASHINGTON, DC 20019
District of Columbia (202) 388-8160
DR. GEBEYEHU N TEFERI M.D.
Internal Medicine (Infectious Disease)
765 KENILWORTH TER NE
WASHINGTON, DC 20019
District of Columbia (202) 388-8160
CHRISTIE PITNEY CNM
Midwife
765 KENILWORTH TER NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699
DR. NAFISA FAIRUZ CHOWDHURY DDS
Dentist (General Practice)
765 KENILWORTH TER NE
WASHINGTON, DC 20019
District of Columbia (202) 839-7972
DR. RICHARD JOHN ELLIOTT II DO
Student in an Organized Health Care Education/Training Program
765 KENILWORTH TER NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699
ABOLANLE BUSIRAT AHMED-OREPITAN FNP
Nurse Practitioner (Family)
765 KENILWORTH TER NE
WASHINGTON, DC 20019
District of Columbia (202) 388-8160
DR. WEI-JEN CHUA YANKELEVICH DO
Family Medicine
765 KENILWORTH TER NE
WASHINGTON, DC 20019
District of Columbia (202) 469-4699

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 1730690801. It was assigned to this organization in the NPPES registry on October 17, 2017. The provider is doing business as Phs Unity Healthcare Parkside Radiology.

Where is Providence Health Services, Inc located?

Providence Health Services, Inc is located at 765 Kenilworth Ter NE, Washington, DC 20019. The listed phone number is (202) 299-1796.

What is Providence Health Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Providence Health Services, Inc was last updated on October 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.