Phs Glenn Dale, NPI 1487922803
Surgery Physician in Glenn Dale, MD, US

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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
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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

208600000X

Taxonomy Name Surgery Physician
Classification

Surgery

Group

Allopathic & Osteopathic Physicians

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.

Other Organization Name

Providence Health Services
Other Name

Business Address

Phs Glenn Dale
12200 Annapolis Rd
Suite 123

Glenn Dale, MD, US

Phone: 202-448-4014
Fax: 202-372-0029

Mailing Address

Phs Glenn Dale
1160 Varnum St Ne
St Catherine's Hall, Room 102
Washington, DC, US
ZIP 200172107
Phone: 202-854-4069
Fax: 202-854-7825

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

282N00000X

Hospitals

General Acute Care Hospital

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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