Providence Health Services
Neurology
1053 Buchanan St Ne, Suite 055, Washington
District Of Columbia, 20017-2712
202-269-7626 202-269-7616
Maps & DirectionsProvidence Health Services is a Neurology Clinic in Washington, District Of Columbia. This organization is also known as sub part of Providence Hospital. It is located at 1053 Buchanan St Ne, Suite 055, Washington, DC and its contact number is 202-269-7626. The authorized person for Providence Health Services is Mr. Charles F Haberkern
who is Vp of the clinic and his/her contact number is 202-854-4255. The primary license number for Providence Health Services is HFD01-0212 (Addiction Medicine) in District Of Columbia.
Providence Health Services Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Providence Health Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Providence Health Services |
| Specialization: | Neurology |
| Clinic Address: | 1053 Buchanan St Ne, Suite 055, Washington,
District Of Columbia, 20017-2712 |
| Phone: | 202-269-7626 |
| Fax: | 202-269-7616 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Charles F Haberkern |
| Position: | Vp |
| Contact Number: | 202-854-4255 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Health Services clinic are as mentioned below.
| NPI Number: | 1396012837 |
| Parent Organization: | Providence Hospital |
| NPI Enumeration Date: | 29 Nov, 2011 |
| NPI Last Update On: | 06 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health Services are as mentioned below.
| Specialization | License Number | State | Status | |
| Addiction Medicine | HFD01-0212 | District Of Columbia | Primary | |
| Neurology | HFD01-0212 | District Of Columbia | Secondary | |
| General Acute Care Hospital | HFD01-0112 | District Of Columbia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 005145400 | Medicaid | Maryland | |
| 09810714 | Medicaid | Virginia | |
| 029833400 | Medicaid | District Of Columbia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Providence Health Services
1150 Varnum St Ne, St Catherine's Hall, Room 102
Washington, District Of Columbia |
| Zip: | 20017-2104 |
| Phone Number: | 202-854-4069 |
| Fax Number: | 202-854-7825 |
Patients can reach Providence Health Services at
1053 Buchanan St Ne, Suite 055, Washington, District Of Columbia or can
call to book an appointment on 202-269-7626.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.