Organization Active NPI

Matthews-Vu Medical Group, P.C.

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1376271122
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MATTHEWS-VU MEDICAL GROUP, P.C.
Practice address
4190 E Woodmen Rd Ste 210
Colorado Springs, CO 80920-8075
Phone
(719) 632-4455
NPI assigned
Aug 10, 2022
Organization subpart
Yes
Parent organization
MATTHEWS-VU MEDICAL GROUP, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X

Addresses

Primary practice location

4190 E Woodmen Rd Ste 210
Colorado Springs, CO 80920-8075

Mailing address

4190 E Woodmen Rd Ste 210
Colorado Springs, CO 80920-8075

Other names 1

  • Imaging at Matthews-Vu Doing business as

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
Ste 210
Colorado Springs, CO 80920

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1376271122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 E WOODMEN RD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 E WOODMEN RD STE 210",
            "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": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "BOGUE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-776-0108"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imaging at Matthews-Vu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 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.