NPIMap

Organization Active NPI

Matthews-Vu Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1356916506
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MATTHEWS-VU MEDICAL GROUP, P.C.
Practice address
4190 E Woodmen Rd
Colorado Springs, CO 80920-8075
Phone
(719) 632-4455
NPI assigned
May 20, 2021
Last updated
Aug 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MATTHEWS-VU MEDICAL GROUP, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kate Bogue
Title
Credentialing
Phone
(703) 776-0108

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Internal Medicine Physician 207R00000X
Diagnostic Radiology Physician 2085R0202X
Diagnostic Ultrasound Physician 2085U0001X
Radiology Podiatrist 213ER0200X

Addresses

Primary practice location

4190 E Woodmen Rd
Colorado Springs, CO 80920-8075

Mailing address

4190 E Woodmen Rd
Colorado Springs, CO 80920-8075
Phone (719) 632-4455

National Provider Directory

National Provider Directory
Tax ID family
Matthews-Vu Medical Group P13 organizations share this tax ID, including this one
Part of
Matthews-Vu Medical Group P

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 364-8950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1356916506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208075",
            "telephone_number": "719-632-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208075",
            "telephone_number": "719-632-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS-VU MEDICAL GROUP, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEWS-VU MEDICAL GROUP, P.C.",
        "enumeration_date": "2021-05-20",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "BOGUE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "703-776-0108"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.