MATTHEW C. LEE (NPI# 1255515474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255515474 |
| Entity Type | Organization |
| Organization Name | MATTHEW C. LEE |
| Practice Address |
1617 Monument Ave Suite 302 Richmond VA 23220-2943 |
| Practice Telephone | 8043581492 |
| Practice Fax Number | 8043581491 |
| Mailing Telephone | 8043581492 |
| Mailing Fax Number | 8043581491 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2009-08-24 |
| Authorized Official Name | DR. MATTHEW C. LEE (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8042414293 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0101239897 | VA | Ambulatory Health Care Facilities |
| Street Address |
1617 MONUMENT AVE SUITE 302 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902332729 | Bryon Mitchell | Counselor | 1617 Monument Ave, Unit 301, Richmond, VA 23220-2943 | 2017-05-11 |
| 1801264676 | Eric Hinesley | Social Worker | 1617 Monument Ave, Suite 202, Richmond, VA 23220-2943 | 2015-09-09 |
| 1083082226 | Partners In Parenting, PC | Social Worker | 1617 Monument Ave, Suite 202, Richmond, VA 23220-2943 | 2015-09-04 |
| 1447531785 | Colleen Dolan | Psychologist | 1617 Monument Ave, Ste. 202, Richmond, VA 23220-2943 | 2011-08-31 |
| 1649574856 | Bridge for Good Enterprises, LLC | Community/Behavioral Health | 1617 Monument Ave, # 301, Richmond, VA 23220-2943 | 2011-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
| 1497245500 | Alliance Physician Services Pllc | Clinic/Center | 4004 Harcourt Ln, Richmond, VA 23233-1776 | 2018-05-14 |
| 1619475449 | Huberte Kouensoh | Clinic/Center | 5603 Gemstone Park Rd, Richmond, TX 77407-4165 | 2018-01-26 |
| 1932611019 | Family Care Professional Limited Liability Company | Clinic/Center | 3190 Irvine Rd., Richmond, KY 40475-4047 | 2017-10-30 |
| 1770993933 | Epic Family Care, Pllc | Clinic/Center | 7417 West Grand Parkway South, Suite 500, Richmond, TX 77406 | 2014-04-28 |
| 1720389430 | Madison County Clinic | Clinic/Center | 946 Commercial Dr, Unit 3, Richmond, KY 40475-3431 | 2010-11-11 |
| 1265750616 | Michelle Latham | Clinic/Center | 8210 Whistler Rd, Richmond, VA 23227-1527 | 2010-05-10 |
| 1457489700 | Anil Harrison M.d. Psc | Clinic/Center | 1054 Center Dr Ste 2, Richmond, KY 40475-3851 | 2007-03-01 |
| 1871100438 | Advanced Healthcare Practice LLC | Clinic/Center | 7422 Shady Lake Grv, Richmond, TX 77407-3181 | 2020-09-28 |
| 1124532239 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 204, Richmond, VA 23233 | 2017-11-28 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.