Active NPI
Cheryl A. Melick, MD
- General Practice Physician
- Englewood, CO
National Provider Identifier
1023096161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 29079
- Practice address
- 501 E Hampden Ave
Englewood, CO 80113-2702 - Phone
- (303) 788-6911
- Fax
- (303) 306-7753
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29079 | CO | |
| Emergency Medicine Physician | 207P00000X | DR.0029079 | CO | |
| General Practice Physician | 208D00000X | 29079 | CO | Primary |
Addresses
Primary practice location
501 E Hampden Ave
Englewood, CO 80113-2702
Mailing address
PO Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01290790 | Medicaid | CO | |
| 930042316 | Other | CO | RAILROAD MEDICARE |
Other names 1
- Cheryl A. Melick-Casanova
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29079 | CO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1023096161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173862",
"city": "DENVER",
"state": "CO",
"postal_code": "802173862",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132702",
"telephone_number": "303-788-6911",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELICK",
"first_name": "CHERYL",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "29079",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0029079",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "29079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01290790",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930042316",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "MELICK-CASANOVA",
"middle_name": "A.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.