OrganizationActive
Providence Hospital
NPI 1134584667 · Primary Care Clinic/Center · Silver Spring, MD
Provider details
- NPI number
- 1134584667
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yiesak Asfaw, NP(301) 256-7630
- License
- RN1014643 (DC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3413 Olive Branch Dr
Silver Spring, MD 20904-4973
Phone: (301) 256-7630
Street-level locationGet directions
Mailing address
1150 Varnum St Ne
Wahington DC, DC 20017
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.