Provider Demographics
NPI:1154349025
Name:WASHINGTON ENT GROUP PLLC
Entity type:Organization
Organization Name:WASHINGTON ENT GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PICKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-785-5000
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE# 620
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-785-5000
Mailing Address - Fax:202-785-5040
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE# 620
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-785-5000
Practice Address - Fax:202-785-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD17380207Y00000X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG00502Medicare ID - Type Unspecified