SECUREMD PROFESSIONALS - COLORADO LLC (NPI# 1164854063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164854063 |
| Entity Type | Organization |
| Organization Name | SECUREMD PROFESSIONALS - COLORADO LLC |
| Practice Address |
110 S 3rd Ave Sterling CO 80751-3616 |
| Mailing Address |
2500 York Rd Ste 300 Jamison PA 18929-1068 |
| Practice Telephone | 2155899001 |
| Practice Fax Number | 2155899030 |
| Mailing Telephone | 2155899001 |
| Mailing Fax Number | 2155899030 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | JAMES A MILLER (PRESIDENT) |
| Authorized Official Telephone | 9705220591 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
110 S 3RD AVE |
| City | STERLING |
| State | CO |
| Zip Code | 80751-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113733 | James A Miller | Internal Medicine | 110 S 3rd Ave, Sterling, CO 80751-3616 | 2005-06-09 |
| 1073884318 | Securemd | Clinic/Center | 110 S 3rd Ave, Sterling, CO 80751-3616 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1881080166 | Munira Shodikulova | Internal Medicine | 20935 Sandian Ter, Sterling, VA 20165-5859 | 2015-04-13 |
| 1235475682 | Etnacare, LLC | Internal Medicine | 45800 Jona Dr, Sterling, VA 20165-5685 | 2012-12-12 |
| 1093072951 | Noor Dabaie | Internal Medicine | 216 E Juniper Ave, Sterling, VA 20164-2416 | 2012-04-17 |
| 1730299926 | Vincent J. Racanelli | Internal Medicine | 101 E. Miller Road, Sterling, IL 61081-3619 | 2006-08-30 |
| 1346253002 | Arvinder Chawla | Internal Medicine | 21495 Ridgetop Circle, Suite 102, Sterling, VA 20166-6512 | 2006-08-14 |
| 1861442758 | Ann Mecherikunnel | Internal Medicine | 107 E Holly Ave, #3, Sterling, VA 20164-5405 | 2006-05-11 |
| 1295797843 | Judith Lim Greco | Internal Medicine | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2006-04-06 |
| 1487613410 | Katie Del Pierro | Internal Medicine | 46175 Westlake Dr Ste 440, Sterling, VA 20165-5886 | 2006-03-20 |
| 1437121910 | Rahel G Yirga | Internal Medicine | 20 Pidgeon Hill Dr Ste 208, Sterling, VA 20165-6134 | 2006-02-07 |
| Find all providers in STERLING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.