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NPI Code Detail

MEDICARE: DR. ROGER JOHN MATTHEWS D.O.

MEDICARE: DR. ROGER JOHN MATTHEWS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOP61495864WA
2207Q00000XFamily Medicine PhysicianCDRH.0037281CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104820570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER JOHN MATTHEWS D.O.
Provider Business Mailing Address
First Line : 112 N RUBEY DR UNIT 140
Second Line :
City : GOLDEN
State : CO
Zip : 80403-3214
Country : US
Telephone Number : 720-704-5835
Fax Number : 720-902-3940
Provider Business Practice Location Address
First Line : 112 N RUBEY DR UNIT 140
Second Line :
City : GOLDEN
State : CO
Zip : 80403-3214
Country : US
Telephone Number : 720-704-5835
Fax Number : 720-902-3940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 10/23/2025

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