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

Providence Health Services

Organization Family Medicine Physician · NPI 1194985515

Providence Health Services provides Family Medicine Physician services in Colmar Manor, Maryland. Licensed in District of Columbia. Registered with an NPI since 2008.

Licensed in
DC
In the registry since
2008
Specialties on file
2

Practice location Address checks out

4151 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone: (301) 699-7700
Fax: (301) 779-9001
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence HFD01-0212 (DC)
Internal Medicine Physician Taxonomy 207R00000X · Licence HFD01-0212 (DC)

Record details

NPI number1194985515
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Timothy Sheridan — Assistant Vp, Practice Mgt Services · (202) 269-7374
NPI enumeratedJune 10, 2008
Last updated in NPPESOctober 9, 2017
Mailing address1150 Varnum St Ne, Washington, DC 20017-2149

Other providers in Colmar Manor