Organization Active NPI

Securemd Professionals - Colorado LLC

  • Internal Medicine Physician
  • Sterling, CO
National Provider Identifier
1164854063
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SECUREMD PROFESSIONALS - COLORADO LLC
Practice address
110 S 3Rd Ave
Sterling, CO 80751-3616
Phone
(215) 589-9001
Fax
(215) 589-9030
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
James A Miller, M.D.
Title
President
Phone
(970) 522-0591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

110 S 3Rd Ave
Sterling, CO 80751-3616

Mailing address

2500 York Rd
Ste 300
Jamison, PA 18929-1068
Phone (215) 589-9001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1164854063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 YORK RD",
            "address_2": "STE 300",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291068",
            "telephone_number": "215-589-9001",
            "fax_number": "215-589-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 3RD AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513616",
            "telephone_number": "215-589-9001",
            "fax_number": "215-589-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECUREMD PROFESSIONALS - COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-522-0591",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.