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 provides Specialist services 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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