Healthcare Provider Details

I. General information

NPI: 1407870124
Provider Name (Legal Business Name): WASHINGTON HOSPITAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW ATTN MEDICAL AFFAIRS
WASHINGTON DC
20010-2976
US

IV. Provider business mailing address

110 IRVING ST NW ATTN MEDICAL AFFAIRS
WASHINGTON DC
20010-2976
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-5284
  • Fax: 202-877-3375
Mailing address:
  • Phone: 202-877-5284
  • Fax: 202-877-3375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberHFD01-0210
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberHFD01-0210
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberHFD01-0210
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberHFD01-0210
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberHFD01-0210
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHFD01-0210
License Number StateDC
# 7
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberHFD01-0210
License Number StateDC
# 8
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberHFD01-0210
License Number StateDC

VIII. Authorized Official

Name: MS. JANIS M. ORLOWSKI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 202-877-5284