Organization Active NPI

Matthew C. Lee

  • Primary Care Clinic/Center
  • Richmond, VA
National Provider Identifier
1255515474
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101239897 Issued in VA
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

Updated by the provider on Aug 24, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.