Providence Health Services
NPI 1194985515ActiveOrganization· Family Medicine· Colmar Manor, MD
Family Medicine in Colmar Manor, Maryland, registered in NPPES in June 2008, part of Providence Hospital. The authorized official on file is Timothy Sheridan, Assistant Vp, Practice Mgt Services.
Overview
| NPI | 1194985515 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Providence Hospital |
| NPI issued | Jun 10, 2008 |
| Last updated in NPPES | Oct 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | HFD01-0212 | DC |
| Internal Medicine | 207R00000X | HFD01-0212 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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