Active NPI
Veritas Medical Group LLC
- Surgery Physician
- Moscow, ID
National Provider Identifier
1922816792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- VERITAS MEDICAL GROUP LLC
- Practice address
- 1174 Alturas Dr Ste 4
Moscow, ID 83843-8341 - Phone
- (208) 596-3385
- NPI assigned
- Dec 24, 2024
- 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
- Matthew Abraham, MD
- Title
- Medical Director
- Phone
- (937) 408-3982
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Gynecology Physician | 207VG0400X | |||
| Ophthalmology Physician | 207W00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Surgery Physician | 208600000X | Primary | ||
| Podiatrist | 213E00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
1174 Alturas Dr Ste 4
Moscow, ID 83843-8341
Mailing address
1174 Alturas Dr Ste 4
Moscow, ID 83843-8341
Phone (208) 596-3385
Other names 1
- Veritas Surgery
National Provider Directory
National Provider DirectoryLocations
1174 Alturas Dr
Ste 4
Moscow, ID 83843
Phone (208) 261-2014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734998400000",
"number": "1922816792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 ALTURAS DR STE 4",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838438341",
"telephone_number": "208-596-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 ALTURAS DR STE 4",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838438341",
"telephone_number": "208-596-3385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERITAS MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-24",
"last_updated": "2024-12-24",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "937-408-3982",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Veritas Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.