Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Providence Health Services

Family Medicine Physician in Colmar Manor, MD · enumerated 2008 · authorized official Timothy Sheridan, Assistant Vp, Practice Mgt Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194985515

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Registry record

Entity type Organization (Type 2)

Legal business name Providence Health Services

Parent organization Providence Hospital

Practice address 4151 Bladensburg Rd, Colmar Manor, MD, 20722

Phone (301) 699-7700

Fax (301) 779-9001

Enumeration date Jun 10, 2008

Last updated in NPPES Oct 9, 2017

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License HFD01-0212 (DC) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License HFD01-0212 (DC) Primary

Authorized official

Name Timothy Sheridan

Title Assistant Vp, Practice Mgt Services

Phone (202) 269-7374

Other identifiers

Identifier	Type	State	Issuer
548521501	Medicaid	MD	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-10-09. Verify at npiregistry.cms.hhs.gov.

Where is Providence Health Services located?

The practice location on file with NPPES is in Colmar Manor, MD.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-09.