Provider Demographics
NPI:1730164401
Name:GREENFIELD SERLEN, MELISSA M (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:M
Last Name:GREENFIELD SERLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:80 HEALTH PARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9584
Mailing Address - Country:US
Mailing Address - Phone:303-666-2720
Mailing Address - Fax:303-666-2734
Practice Address - Street 1:80 HEALTH PARK DR
Practice Address - Street 2:STE 100
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9584
Practice Address - Country:US
Practice Address - Phone:303-666-2720
Practice Address - Fax:303-666-2734
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2016-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO40608207P00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO89834267Medicaid
CO89834267Medicaid
CO470388Medicare PIN