Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phs General Surgry Dp318

Organization Surgery Physician · NPI 1194080689

Phs General Surgry Dp318 is a Surgery Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2012.

Licensed in
DC
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1160 Varnum St NE Depaul 318
Washington, DC 20017-2107
Phone: (202) 854-4014
Fax: (301) 262-8291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence HFD01-0212 (DC)
General Acute Care Hospital Taxonomy 282N00000X · Licence HFD01-0212 (DC)

Record details

NPI number1194080689
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Gregory Ziegler — Avp Finance · (202) 854-7284
Other names Providence Health Services, Inc
NPI enumeratedJuly 10, 2012
Last updated in NPPESSeptember 6, 2016
Mailing address1150 Varnum St Ne, St Catherine'S Hall, Room 102, Washington, DC 20017-2104

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