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

Providence Health Services, Inc

Organization Gynecology Physician · NPI 1972012615

Providence Health Services, Inc is a Gynecology 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
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 St Catherine's Hall 2nd Fl
Washington, DC 20017-2107
Phone: (202) 854-7074
Fax: (202) 854-7470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence HFD01-0212 (DC)

Record details

NPI number1972012615
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Beau Higginbothan — Vice President/Coo · (410) 368-3162
Other names Phs Gyn Group
NPI enumeratedSeptember 26, 2017
Last updated in NPPESOctober 11, 2017
Mailing address1160 Varnum St Ne Ste 102, Washington, DC 20017-2106

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