Second Glance Prof LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39346 Issued in CO

Legal business name

SECOND GLANCE PROF LLC

Practice address

701 E Hampden Ave
120
Englewood, CO 80113-2736

Phone

(303) 781-2515

Fax

(303) 781-5809

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Kimberlee Terry, M.D.

Title

Owner

Phone

(303) 781-2515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548466915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "120",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-781-2515",
            "fax_number": "303-781-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "120",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-781-2515",
            "fax_number": "303-781-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND GLANCE PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-781-2515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "39346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Eddie Scruggs II, PHARMD
• Jennifer Ann Scully
• Samuel Appleton Scutchfield, MD
• Joy Meyer Seacat, PHD
• Rachel M Seccia, PA-C
• Seda Radiology PC
• Macquelle Seevers, FNP
• Holly A. Segel, M.A./CCC-SLP
• Victoria Segro, MSN NP NURSE PRACTIO
• Jeanne Day Seibert, MD

• Internal Medicine Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.