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

Phs General Surgry Dp318

Organization Surgery Physician · NPI 1194080689

Phs General Surgry Dp318 provides Surgery Physician services in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2012.

Licensed in
DC
In the registry since
2012
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1160 Varnum St NE Depaul 318
Washington, DC 20017-2107 Not confirmed with CMS for 10 years — call before visiting
Phone: (202) 854-4014
Fax: (301) 262-8291
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence HFD01-0212 (DC)
General Acute Care Hospital Taxonomy 282N00000X · Licence HFD01-0212 (DC)

Record details

NPI number1194080689
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Gregory Ziegler — Avp Finance · (202) 854-7284
Other names Providence Health Services, Inc
NPI enumeratedJuly 10, 2012
Last updated in NPPESSeptember 6, 2016
Mailing address1150 Varnum St Ne, St Catherine'S Hall, Room 102, Washington, DC 20017-2104

Other providers in Washington