Phs Family Medicine & Pediatrics Pmb103
NPI 1750659272 · Family Medicine Physician · Washington, DC
Phs Family Medicine & Pediatrics Pmb103 is a Family Medicine Physician organization in Washington, DC (NPI 1750659272).
Provider details
- NPI number
- 1750659272
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Hospital
- Organization subpart
- Yes
- Authorized official
- Charles Haberkern, Vp(202) 854-4255
- License
- HFD01-0212 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Other name
- Providence Health Services
Registry dates
- Enumerated
- 2011-12-12
- Last updated
- 2016-09-06
Frequently asked questions
- What is Phs Family Medicine & Pediatrics Pmb103's NPI number?
- Phs Family Medicine & Pediatrics Pmb103's National Provider Identifier (NPI) is 1750659272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phs Family Medicine & Pediatrics Pmb103?
- Phs Family Medicine & Pediatrics Pmb103 is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Phs Family Medicine & Pediatrics Pmb103 located?
- Phs Family Medicine & Pediatrics Pmb103's practice location on file with NPPES is 1140 Varnum St Ne, Washington, DC 20017-2151.
- What is Phs Family Medicine & Pediatrics Pmb103's phone number?
- The practice phone number listed in the NPPES registry for Phs Family Medicine & Pediatrics Pmb103 is (202) 854-7074.
- Who is the authorized official for Phs Family Medicine & Pediatrics Pmb103?
- The authorized official listed on Phs Family Medicine & Pediatrics Pmb103's NPPES record is Charles Haberkern, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phs Family Medicine & Pediatrics Pmb103's NPI active?
- Yes — Phs Family Medicine & Pediatrics Pmb103's NPI (1750659272) is active in the NPPES registry as of the last update on 2016-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.