Active NPI
Matthew C. Lee
- Primary Care Clinic/Center
- Richmond, VA
National Provider Identifier
1255515474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 0101239897
- Legal business name
- MATTHEW C. LEE
- Practice address
- 1617 Monument Ave
Suite 302
Richmond, VA 23220-2943 - Phone
- (804) 358-1492
- Fax
- (804) 358-1491
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew C. Lee, M.D.
- Title
- Sole Proprietor
- Phone
- (804) 241-4293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0101239897 | VA | Primary |
Addresses
Primary practice location
1617 Monument Ave
Suite 302
Richmond, VA 23220-2943
Mailing address
1617 Monument Ave
Suite 302
Richmond, VA 23220-2943
Phone (804) 358-1492
National Provider Directory
National Provider DirectoryLocations
1617 Monument Ave
Ste 302
Richmond, VA 23220
Phone (804) 355-9322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251072000000",
"number": "1255515474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 MONUMENT AVE",
"address_2": "SUITE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232202943",
"telephone_number": "804-358-1492",
"fax_number": "804-358-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 MONUMENT AVE",
"address_2": "SUITE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232202943",
"telephone_number": "804-358-1492",
"fax_number": "804-358-1491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW C. LEE",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2009-08-24",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "804-241-4293",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "VA",
"license": "0101239897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.