OrganizationActive
Phs Gen Surg Dp307
NPI 1942546858 · Surgery Physician · Washington, DC
Phs Gen Surg Dp307 is a Surgery Physician organization in Washington, DC (NPI 1942546858).
Provider details
- NPI number
- 1942546858
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Hospital
- Organization subpart
- Yes
- Authorized official
- Beau Higginbotham, Cive President/Coo(410) 368-3162
- License
- HFD01-0212 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Hospitals
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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 307
Washington, DC 20017-2107
Phone: (202) 854-4014
Fax: (202) 854-4082
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
- 2012-12-20
- Last updated
- 2017-10-05
Frequently asked questions
- What is Phs Gen Surg Dp307's NPI number?
- Phs Gen Surg Dp307's National Provider Identifier (NPI) is 1942546858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phs Gen Surg Dp307?
- Phs Gen Surg Dp307 is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Phs Gen Surg Dp307 located?
- Phs Gen Surg Dp307's practice location on file with NPPES is 1160 Varnum St Ne, Washington, DC 20017-2107.
- What is Phs Gen Surg Dp307's phone number?
- The practice phone number listed in the NPPES registry for Phs Gen Surg Dp307 is (202) 854-4014.
- Who is the authorized official for Phs Gen Surg Dp307?
- The authorized official listed on Phs Gen Surg Dp307's NPPES record is Beau Higginbotham, Cive President/Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phs Gen Surg Dp307's NPI active?
- Yes — Phs Gen Surg Dp307's NPI (1942546858) is active in the NPPES registry as of the last update on 2017-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.