PROVIDENCE HEALTH SERVICES
NPI 1831467356
Obstetrics & Gynecology - Gynecology in Washington, DC

Active since December 12, 2011
1150 VARNUM ST NE, ST. CATHERINE'S HALL, 2ND FLOOR, WASHINGTON, DC 20017(202) 269-7074(202) 372-0026 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Health Services NPPES

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

PROVIDENCE HEALTH SERVICES (NPI 1831467356) is a healthcare organization registered as a gynecology in Washington, District Of Columbia and active in the NPI registry since December 2011. The organization lists Beau Higginbotham, Vp, as its authorized official.

NPPES Registry Identity

NPI1831467356
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePHS CENTER FOR LIFE SC 2ND FLOOR
Location Address1150 VARNUM ST NE, ST. CATHERINE'S HALL, 2ND FLOORWashington, DC 20017-2107
Mailing Address1150 Varnum St Ne Rm 102Washington, DC 20017-2104 · (202) 854-7074 · Fax (202) 854-7825
Fax(202) 372-0026
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothamVp · (410) 368-3162
Enumeration DateDecember 12, 2011
Last NPPES UpdateJuly 21, 2022
NPI 1831467356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in DC · HFD01-0212
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License HFD01-0212 (DC)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License HFD01-0212 (DC)
1150 VARNUM ST NE, Washington, DC 20017

Other Names 1

Other NameProvidence Health Services

Other Identifiers 3

Medicaid005145400MD
Medicaid029833400DC
Medicaid09810714VA

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.

Radiology (Diagnostic Radiology)
1150 VARNUM ST NE
WASHINGTON, DC 20017
Pathology (Anatomic Pathology & Clinical Pathology)
1150 VARNUM ST NE, PATHOLOGY DEPARTMENT
WASHINGTON, DC 20017
Physician Assistant
1150 VARNUM ST NE
WASHINGTON, DC 20017
Anesthesiology
1150 VARNUM ST NE
WASHINGTON, DC 20017
Emergency Medicine
1150 VARNUM ST NE
WASHINGTON, DC 20017
Family Medicine
1150 VARNUM ST NE, ST. CATHERINE'S HALL/1ST FL/RM 102
WASHINGTON, DC 20017
Internal Medicine
1150 VARNUM ST NE
WASHINGTON, DC 20017
Anesthesiologist Assistant
1150 VARNUM ST NE
WASHINGTON, DC 20017

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 Center For Life Sc 2nd Floor's NPI number?

The NPI number for Phs Center For Life Sc 2nd Floor is 1831467356. 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 Center For Life Sc 2nd Floor located?

Phs Center For Life Sc 2nd Floor is located at 1150 Varnum St NE St. Catherine's Hall, 2nd Floor, Washington, DC 20017. The listed phone number is (202) 269-7074.

What is Phs Center For Life Sc 2nd Floor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Phs Center For Life Sc 2nd Floor was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.