Provider Demographics
NPI:1902835614
Name:MATTHEWS, STEVEN C (PA-C)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:C
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5351 S ROSLYN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2132
Mailing Address - Country:US
Mailing Address - Phone:303-679-2070
Mailing Address - Fax:303-679-2071
Practice Address - Street 1:5351 S ROSLYN ST STE 200
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2132
Practice Address - Country:US
Practice Address - Phone:303-679-2070
Practice Address - Fax:303-679-2071
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1667363AS0400X
COPA1667363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0330710001OtherDMERC
CO94431043Medicaid
CO94431043Medicaid
0330710001OtherDMERC
COP82764Medicare UPIN