PHS GENERAL SURGRY DP318 NPI 1194080689

NPI Information

NPI: 1194080689
Provider Name: PHS GENERAL SURGRY DP318
Classification: Surgery - 208600000X
Entity Type: Organization
Doing Business As: PROVIDENCE HEALTH SERVICES, INC
Address: 1160 VARNUM ST NE
DEPAUL 318
WASHINGTON, DC
ZIP 20017
Phone: (202) 854-4014

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NPI Details

PHS GENERAL SURGRY DP318 is a surgery in Washington, DC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PHS GENERAL SURGRY DP318 NPI is 1194080689. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Health Services, Inc.

The provider's business location address is:

1160 VARNUM ST NE
DEPAUL 318
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 854-4014
Fax: (301) 262-8291

The provider's authorized official is Gregory Ziegler .
The authorized official title is Avp Finance and has the following contact phone number (202) 854-7284.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 9/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282N00000X	General Acute Care Hospital		HFD01-0212	DISTRICT OF COLUMBIA	No
2	208600000X	Surgery		HFD01-0212	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	005145400	MEDICAID	MARYLAND
2	029833400	MEDICAID	DISTRICT OF COLUMBIA
3	09810714	MEDICAID	VIRGINIA
4	090006	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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