OrganizationActive
Phs Gen Surg Dp306
NPI 1457730244 · Surgery Physician · Washington, DC
Phs Gen Surg Dp306 is a Surgery Physician organization in Washington, DC (NPI 1457730244).
Provider details
- NPI number
- 1457730244
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Hospital
- Organization subpart
- Yes
- Authorized official
- Beau Higginbotham, President/Coo(410) 368-3162
- License
- HFD01-0212 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1160 Varnum St Ne
Depaul 306
Washington, DC 20017-2107
Phone: (202) 854-4069
Fax: (202) 854-7825
Street-level locationGet directions
Mailing address
1160 Varnum St Ne
Washington, DC 20017-2107
Other names (DBA / former)
- Doing business as
- Providence Health Services
Registry dates
- Enumerated
- 2015-05-26
- Last updated
- 2017-10-09
Frequently asked questions
- What is Phs Gen Surg Dp306's NPI number?
- Phs Gen Surg Dp306's National Provider Identifier (NPI) is 1457730244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phs Gen Surg Dp306?
- Phs Gen Surg Dp306 is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Phs Gen Surg Dp306 located?
- Phs Gen Surg Dp306's practice location on file with NPPES is 1160 Varnum St Ne, Washington, DC 20017-2107.
- What is Phs Gen Surg Dp306's phone number?
- The practice phone number listed in the NPPES registry for Phs Gen Surg Dp306 is (202) 854-4069.
- Who is the authorized official for Phs Gen Surg Dp306?
- The authorized official listed on Phs Gen Surg Dp306's NPPES record is Beau Higginbotham, President/Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phs Gen Surg Dp306's NPI active?
- Yes — Phs Gen Surg Dp306's NPI (1457730244) is active in the NPPES registry as of the last update on 2017-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.