OrganizationActive
Providence Health Services
NPI 1982868642 · Surgery Physician · Washington, DC
Providence Health Services is a Surgery Physician organization in Washington, DC (NPI 1982868642).
Provider details
- NPI number
- 1982868642
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Hospital
- Organization subpart
- Yes
- Authorized official
- Beau Higginbotham, Vice President/Coo(410) 368-3162
- License
- HFD01-0212 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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 104
Washington, DC 20017-2107
Phone: (202) 854-4440
Fax: (202) 854-4430
Street-level locationGet directions
Mailing address
1160 Varnum St Ne
Washington, DC 20017-2107
Other names (DBA / former)
- Doing business as
- Phs General Surgery 104
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2017-10-09
Frequently asked questions
- What is Providence Health Services's NPI number?
- Providence Health Services's National Provider Identifier (NPI) is 1982868642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health Services?
- Providence Health Services is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health Services located?
- Providence Health Services's practice location on file with NPPES is 1160 Varnum St Ne, Washington, DC 20017-2107.
- What is Providence Health Services's phone number?
- The practice phone number listed in the NPPES registry for Providence Health Services is (202) 854-4440.
- Who is the authorized official for Providence Health Services?
- The authorized official listed on Providence Health Services's NPPES record is Beau Higginbotham, Vice President/Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health Services's NPI active?
- Yes — Providence Health Services's NPI (1982868642) 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.