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

Providence Health Services, Inc

Organization Anesthesiology Physician · NPI 1740795293

Providence Health Services, Inc is an Anesthesiology Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2017.

Licensed in
DC
In the registry since
2017
Specialties on file
3
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
Washington, DC 20017-2104
Phone: (202) 854-4041
Fax: (202) 854-4034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence HFD01-0212 (DC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence HFD01-0212 (DC)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence HFD01-0212 (DC)

Record details

NPI number1740795293
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Beau Higginbothan — Vice President/Coo · (410) 368-3182
Other names Phs Anesthesia
NPI enumeratedDecember 6, 2017
Last updated in NPPESDecember 6, 2017
Mailing address1150 Varnum St Ne, St Catherines Hall, Room 102, 20017, DC 20017-2104

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