Organization Active NPI

Matthews Internal Medicine PLLC

  • Internal Medicine Physician
  • Monroe, NC
National Provider Identifier
1922357565
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200101490 Issued in NC
Legal business name
MATTHEWS INTERNAL MEDICINE PLLC
Practice address
1663 Campus Park Dr
Suite a
Monroe, NC 28112-5581
Phone
(704) 246-3936
NPI assigned
Aug 29, 2012
Organization subpart
Yes
Parent organization
MATTHEWS INTERNAL MEDICINE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Eugene B Sangmuah, MD
Title
Owner
Phone
(704) 246-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 200101490 NC Primary

Addresses

Primary practice location

1663 Campus Park Dr
Suite a
Monroe, NC 28112-5581

Mailing address

1663 Campus Park Dr
Suite a
Monroe, NC 28112-5581
Phone (704) 246-3936

National Provider Directory

National Provider Directory
Part of
Matthews Internal Medicine PLLC

Locations

1663 Campus Park Dr
Ste A
Monroe, NC 28112
Phone (704) 261-1220

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1922357565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 CAMPUS PARK DR",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125581",
            "telephone_number": "704-246-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 CAMPUS PARK DR",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125581",
            "telephone_number": "704-246-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS INTERNAL MEDICINE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEWS INTERNAL MEDICINE PLLC",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "SANGMUAH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-246-3936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200101490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.