Active NPI
Securemd
- Endoscopy Clinic/Center
- Merino, CO
National Provider Identifier
1073884318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 28700
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.