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PHS OB/GYN SPECIALISTS NPI 1922340488


NPI Information

NPI: 1922340488
Provider Name: PHS OB/GYN SPECIALISTS

Other Name: PROVIDENCE HEALTH SERVICES

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1160 VARNUM ST NE
ST CATHERINE'S HALL, SUITE 300
WASHINGTON, DC
ZIP 20017
Phone: (202) 854-4355
Get Directions

PHS OB/GYN SPECIALISTS is an obstetrics gynecology in Washington, DC. The provider is 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. PHS OB/GYN SPECIALISTS NPI is 1922340488. The provider is registered as an organization entity type.
The provider Other Name Is Providence Health Services.

The provider's business location address is:

1160 VARNUM ST NE
ST CATHERINE'S HALL, SUITE 300
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 854-4355
Fax: (202) 854-0023

The provider's authorized official is Charles F Haberkern .
The authorized official title is Vp and has the following contact phone number (202) 854-4255.

The enumeration date for this NPI number is 3/22/2013 and was last updated on 9/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalHFD01-0212DISTRICT OF COLUMBIANo
2207V00000XObstetrics & GynecologyHFD01-0212DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1090006MEDICARE PIN
2005145400MEDICAIDMARYLAND
3029833400MEDICAIDDISTRICT OF COLUMBIA
409810714MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.