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

Providence Health Services, Inc

Organization Specialist · NPI 1356859334

Providence Health Services, Inc is a Specialist in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2018.

Licensed in
DC
In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1150 Varnum St NE Ste 300
Washington, DC 20017-2180
Phone: (202) 854-4830
Fax: (202) 854-4836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence HFD01-0212 (DC)
Specialist Taxonomy 174400000X · Licence HFD01-0212 (DC)

Record details

NPI number1356859334
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Beau Higginbothan — Vice President/Coo · (410) 368-3182
Other names Phs Cardiology
NPI enumeratedJanuary 12, 2018
Last updated in NPPESJanuary 12, 2018
Mailing address1150 Varnum St Ne, St Catherines Hall, Room 102, Washington, DC 20017-2104

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