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PROVIDENCE HEALTH SERVICES
NPI 1750659272
Family Medicine in Washington, DC

Active since December 12, 2011
1140 VARNUM ST NE, PMB103, WASHINGTON, DC 20017(202) 854-7074(202) 854-7470 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 1750659272) 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 lists Charles F Haberkern, Vp, as its authorized official.

NPPES Registry Identity

NPI1750659272
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHS FAMILY MEDICINE & PEDIATRICS PMB103
Location Address1140 VARNUM ST NE, PMB103Washington, DC 20017-2151
Mailing Address1160 Varnum St Ne, St Catherine's Hall, Room 102Washington, DC 20017-2107 · (202) 854-4069 · Fax (202) 854-7825
Phone(202) 854-7074
Fax(202) 854-7470
Organization SubpartYesParent: Providence Hospital
Authorized OfficialCharles F HaberkernVp · (202) 854-4255
Enumeration DateDecember 12, 2011
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1750659272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DC · HFD01-0212
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 ListedPediatricsTaxonomy 208000000X · License HFD01-0212 (DC)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License HFD01-0212 (DC)
1140 VARNUM ST NE, Washington, DC 20017
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Other Names 1

Other NameProvidence Health Services

Other Identifiers 4

Medicaid09810714VA
Medicaid029833400DC
Medicare PIN090006
Medicaid005145100MD

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.

NANA YAW ASAMOAH-MENSAH M.D.
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE 205
WASHINGTON, DC 20017
District of Columbia (202) 269-0499
WILLIAM E. MORRIS, M.D., PC
Ophthalmology
1140 VARNUM ST NE, SUITE B010
WASHINGTON, DC 20017
District of Columbia (202) 832-1522
DR. DAL YOO M.D.
Internal Medicine (Hematology & Oncology)
1140 VARNUM ST NE, STE 102
WASHINGTON, DC 20017
District of Columbia (202) 636-3811
DR. KENNETH IAN AUSTIN MD
Internal Medicine
1140 VARNUM ST NE, SUITE # 201
WASHINGTON, DC 20017
District of Columbia (202) 832-4200
STEPHEN M SEABRON M. D.
Internal Medicine
1140 VARNUM ST NE, 209
WASHINGTON, DC 20017
District of Columbia (202) 526-8898
WILLIAM PETERSON M.D.
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE #101
WASHINGTON, DC 20017
District of Columbia (202) 526-2509
CAPITAL CONSULTING SERVICES, LLC
Internal Medicine (Nephrology)
1140 VARNUM ST NE, PMB 105
WASHINGTON, DC 20017
District of Columbia (202) 269-6430
DR. PEDRO RICARDO CEPPA MD
Surgery
1140 VARNUM ST NE, STE 104
WASHINGTON, DC 20017
District of Columbia (202) 832-8320

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 Family Medicine & Pediatrics Pmb103's NPI number?

The NPI number for Phs Family Medicine & Pediatrics Pmb103 is 1750659272. It was assigned to this organization in the NPPES registry on December 12, 2011. The provider is also known as Providence Health Services.

Where is Phs Family Medicine & Pediatrics Pmb103 located?

Phs Family Medicine & Pediatrics Pmb103 is located at 1140 Varnum St NE Pmb103, Washington, DC 20017. The listed phone number is (202) 854-7074.

What is Phs Family Medicine & Pediatrics Pmb103'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 Phs Family Medicine & Pediatrics Pmb103 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.