Provider Demographics
NPI:1689601973
Name:MERIC, JANEL LARSON (MD)
Entity type:Individual
Prefix:DR
First Name:JANEL
Middle Name:LARSON
Last Name:MERIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W CORTEZ DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-8889
Mailing Address - Country:US
Mailing Address - Phone:949-384-8008
Mailing Address - Fax:949-739-3243
Practice Address - Street 1:45 W CORTEZ DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-8889
Practice Address - Country:US
Practice Address - Phone:949-384-8008
Practice Address - Fax:949-739-3243
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC530372083P0500X, 202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3125603OtherBLUE CROSS BLUE SHIELD
3125603OtherBLUE CROSS BLUE SHIELD
E99815Medicare UPIN