Phs Glenn Dale, NPI 1487922803
Surgery Physician in Glenn Dale, MD, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1487922803 |
| NPI Entity Type | Organization |
| Provider Name |
Phs Glenn Dale
Other Name |
| Subpart of Organization | Providence Hospital |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 12200 Annapolis Rd, Suite 123, Glenn Dale, MD, US |
| Provider Mailing Address | 1160 Varnum St Ne, St Catherine's Hall, Room 102, Washington, DC, US, 200172107 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Beau Higginbotham |
| Official Position | VICE PRESIDENT/COO |
| Phone | 410-368-3162 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Surgery Physician |
| Classification | |
| Group | |
| License No. | HFD01-0212 |
| License State | DC |
| Description | A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| HFD01-0212 | DC | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 09810714 | VA | MEDICAID | 05 |
| 005145400 | MD | MEDICAID | 05 |
| 029833400 | DC | MEDICAID | 05 |
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