Family Medicine
PROVIDENCE HEALTH SERVICES
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194985515 · enumerated 2008-06-10 · record updated 2017-10-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TIMOTHY SHERIDAN, Assistant VP, Practice Mgt Services · (202) 269-7374
Addresses and phones
- Practice location 4151 BLADENSBURG RD, COLMAR MANOR, MD, 20722-1928 (301) 699-7700 Fax (301) 779-9001 Google Maps Apple Maps OpenStreetMap
- Mailing address 1150 VARNUM ST NE, WASHINGTON, DC, 20017-2149 (202) 269-7286 Fax (202) 269-7825 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License HFD01-0212 DC
- Family Medicine 207Q00000X · Primary · License HFD01-0212 DC
In this directory
Locations and evidence
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Practice location
COLMAR MANOR, MD, 207221928
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.