National Provider Identifier Database

PHS GEN SURG DP307
Surgery

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.


Contact Information

PHS GEN SURG DP307
1160 VARNUM ST NE
DEPAUL 307
WASHINGTON, DC20017-2107
Phone: 202-854-4014
Fax: 202-854-4082
Website:
Specialty Taxonomy Code
* Surgery 208600000X
General Acute Care Hospital 282N00000X

* Indicates primary specialty

NPI Profile & details for PHS GEN SURG DP307

NPI Number 1942546858
Legal business name
LBN
PHS GEN SURG DP307
Authorized official BEAU HIGGINBOTHAM - (CIVE PRESIDENT/COO)
Entity Organization
Organization subpart Yes
Enumeration date 12/20/2012
Last updated 10/05/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • DC License #: HFD01-0212
  • DC Medicaid: 029833400
  • MD Medicaid: 005145400
  • VA Medicaid: 09810714

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PHS GEN SURG DP307

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