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NPI Code Detail

MEDICARE: MATTHEW COLFLESH M.D.

MEDICARE:   MATTHEW  COLFLESH  M.D.
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
1208M00000XHospitalist Physician35.082831OH
2207R00000XInternal Medicine Physician35082831OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00999625OTHEROHRR MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1962409003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW COLFLESH M.D.
Provider Business Mailing Address
First Line : 380 SUMMIT AVE
Second Line : MSO PHYSICIAN BILLING
City : STEUBENVILLE
State : OH
Zip : 43952-2667
Country : US
Telephone Number : 740-283-7597
Fax Number : 740-283-7807
Provider Business Practice Location Address
First Line : 4000 JOHNSON RD
Second Line :
City : STEUBENVILLE
State : OH
Zip : 43952-2364
Country : US
Telephone Number : 740-264-8039
Fax Number : 740-264-8049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 12/11/2025

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Directions to “ MATTHEW COLFLESH M.D.” Practice Location

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