Provider Demographics
NPI:1235142415
Name:ZART, MELISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:ZART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2352 MEADOWS BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8405
Mailing Address - Country:US
Mailing Address - Phone:303-795-3110
Mailing Address - Fax:303-795-6992
Practice Address - Street 1:2352 MEADOWS BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8405
Practice Address - Country:US
Practice Address - Phone:303-795-3110
Practice Address - Fax:303-795-6992
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2014-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR42416207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57077266Medicaid
CO528458Medicare ID - Type Unspecified
CO57077266Medicaid