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

Providence Health Services

Organization Family Medicine Physician · NPI 1194985515

Providence Health Services is a Family Medicine Physician in Colmar Manor, Maryland. Licensed in District of Columbia. Registered with an NPI since 2008.

Licensed in
DC
In the registry since
2008
Specialties on file
2

Practice location Address checks out

4151 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone: (301) 699-7700
Fax: (301) 779-9001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence HFD01-0212 (DC)
Internal Medicine Physician Taxonomy 207R00000X · Licence HFD01-0212 (DC)

Record details

NPI number1194985515
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Timothy Sheridan — Assistant Vp, Practice Mgt Services · (202) 269-7374
NPI enumeratedJune 10, 2008
Last updated in NPPESOctober 9, 2017
Mailing address1150 Varnum St Ne, Washington, DC 20017-2149

Other providers in Colmar Manor