Phs Gen Surg Dp306
NPI 1457730244ActiveOrganization· Surgery· Washington, DC
Surgery in Washington, District of Columbia, registered in NPPES in May 2015, part of Providence Hospital. The authorized official on file is Beau Higginbotham, President/Coo.
Overview
| NPI | 1457730244 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Providence Hospital |
| NPI issued | May 26, 2015 |
| Last updated in NPPES | Oct 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 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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