Provider Demographics
NPI:1669774139
Name:PRESS, MEGAN NICOLE (MD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:NICOLE
Last Name:PRESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:NICOLE
Other - Last Name:BANIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-394-9355
Mailing Address - Fax:303-388-8564
Practice Address - Street 1:15901 E BRIARWOOD CIR UNIT 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1785
Practice Address - Country:US
Practice Address - Phone:303-269-2626
Practice Address - Fax:303-269-2620
Is Sole Proprietor?:No
Enumeration Date:2010-12-03
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.018345207R00000X
CODR.0051991207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61823872Medicaid
CO298670YL7XMedicare PIN
COP01358192Medicare PIN