PHS OB GYN DP216 NPI 1518235126

NPI Information

  • NPI: 1518235126
  • Provider Name: PHS OB GYN DP216
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Other Name: PROVIDENCE HEALTH SERVICES
  • Address: 1160 VARNUM ST NE
    DEPAUL 216
    WASHINGTON, DC
    ZIP 20017
  • Phone: (202) 854-7374

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NPI Details

PHS OB GYN DP216 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 DP216 NPI is 1518235126. 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
DEPAUL 216
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 854-7374
Fax: (202) 854-7470

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 12/9/2011 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109810714MEDICAIDVIRGINIA
2005145400MEDICAIDMARYLAND
3029833400MEDICAIDDISTRICT OF COLUMBIA
4090006MEDICARE PIN

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: 3/30/2025

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