Provider Demographics
NPI:1134238942
Name:MEZA, JANINE CORINA (MD)
Entity type:Individual
Prefix:DR
First Name:JANINE
Middle Name:CORINA
Last Name:MEZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JANINE
Other - Middle Name:
Other - Last Name:ARMATAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1601 E 19TH AVE STE 3650
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1282
Mailing Address - Country:US
Mailing Address - Phone:303-226-7400
Mailing Address - Fax:303-839-7795
Practice Address - Street 1:1601 E 19TH AVE STE 3650
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1282
Practice Address - Country:US
Practice Address - Phone:303-226-7400
Practice Address - Fax:303-839-7795
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35349208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01353499Medicaid
CO01353499Medicaid
COG27899Medicare UPIN