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PHS GYN GROUP
NPI 1972012615
Obstetrics & Gynecology - Gynecology in Washington, DC

Active since September 26, 2017
1150 VARNUM ST NE, ST CATHERINE'S HALL, 2ND FLOOR, WASHINGTON, DC 20017(202) 854-7074(202) 854-7470 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phs Gyn Group NPPES

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

PHS GYN GROUP (NPI 1972012615) is a healthcare organization registered as a gynecology in Washington, District Of Columbia and active in the NPI registry since September 2017. The organization lists Beau Higginbothan, Vice President/coo, as its authorized official.

NPPES Registry Identity

NPI1972012615
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePROVIDENCE HEALTH SERVICES, INC
Location Address1150 VARNUM ST NE, ST CATHERINE'S HALL, 2ND FLOORWashington, DC 20017-2107
Mailing Address1160 Varnum St Ne Ste 102Washington, DC 20017-2106 · (202) 854-4069 · Fax (202) 854-7825
Phone(202) 854-7074
Fax(202) 854-7470
Organization SubpartYesParent: Providence Hospital
Authorized OfficialBeau HigginbothanVice President/coo · (410) 368-3162
Enumeration DateSeptember 26, 2017
Last NPPES UpdateOctober 11, 2017
✔ NPI 1972012615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
1150 VARNUM ST NE, Washington, DC 20017
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Other Names 1

Doing Business AsPhs Gyn Group

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, Inc's NPI number?

The NPI number for Providence Health Services, Inc is 1972012615. It was assigned to this organization in the NPPES registry on September 26, 2017. The provider is doing business as Phs Gyn Group.

Where is Providence Health Services, Inc located?

Providence Health Services, Inc is located at 1150 Varnum St NE St Catherine's Hall, 2nd Floor, Washington, DC 20017. The listed phone number is (202) 854-7074.

What is Providence Health Services, Inc'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 Providence Health Services, Inc was last updated on October 11, 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.