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

Providence Health Services

Organization Obstetrics & Gynecology Physician · NPI 1700040466

Providence Health Services is an Obstetrics & Gynecology Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2008.

Licensed in
DC
In the registry since
2008

Practice location Address checks out

1150 Varnum St NE
Washington, DC 20017-2149
Phone: (202) 269-7000
Fax: (202) 269-7825
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence HFD01-0212 (DC)

Record details

NPI number1700040466
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Beau Higginbotham — Vice President/Coo · (410) 368-3162
NPI enumeratedJuly 11, 2008
Last updated in NPPESOctober 10, 2017
Mailing address1150 Varnum St Ne, Washington, DC 20017-2149

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