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PHS BARIATRIC CARE CENTER DP110 NPI 1659649176


NPI Information

NPI: 1659649176
Provider Name: PHS BARIATRIC CARE CENTER DP110

Other Name: PROVIDENCE HEALTH SERVICES

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1160 VARNUM ST NE
DEPAUL BUILDING SUITE 110
WASHINGTON, DC
ZIP 20017
Phone: (202) 854-4080
Get Directions

PHS BARIATRIC CARE CENTER DP110 is a surgery in Washington, DC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PHS BARIATRIC CARE CENTER DP110 NPI is 1659649176. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Providence Health Services.

The provider's business location address is:

1160 VARNUM ST NE
DEPAUL BUILDING SUITE 110
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 854-4080
Fax: (202) 854-4082

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 12/12/2011 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredHFD01-0212DISTRICT OF COLUMBIANo
2282N00000XGeneral Acute Care HospitalHFD01-0212DISTRICT OF COLUMBIANo
3208600000XSurgeryHFD01-0212DISTRICT 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
1029833400MEDICAIDDISTRICT OF COLUMBIA
2090006MEDICARE PIN
3005145400MEDICAIDMARYLAND
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: 11/14/2023

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.