Organization Active NPI

Securemd

  • Endoscopy Clinic/Center
  • Merino, CO
National Provider Identifier
1073884318
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
28700 Issued in CO
Legal business name
SECUREMD
Practice address
11905 County Road 5
Merino, CO 80741
Phone
(970) 466-2809
Fax
(970) 526-1708
NPI assigned
Jan 18, 2012
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Alan Miller, M.D.
Title
Manager/Owner
Phone
(970) 466-2833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 28700 CO Primary

Addresses

Primary practice location

11905 County Road 5
Merino, CO 80741

Mailing address

11905 County Road 5
Merino, CO 80741
Phone (970) 466-2809

National Provider Directory

National Provider Directory

Locations

110 S 3rd Ave
Sterling, CO 80751
Phone (215) 589-9001

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1073884318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 COUNTY ROAD 5",
            "city": "MERINO",
            "state": "CO",
            "postal_code": "80741",
            "telephone_number": "970-466-2809",
            "fax_number": "970-526-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 COUNTY ROAD 5",
            "city": "MERINO",
            "state": "CO",
            "postal_code": "80741",
            "telephone_number": "970-466-2809",
            "fax_number": "970-526-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECUREMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "970-466-2833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CO",
            "license": "28700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merino, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.