SIDNEY JULES MELUGIN NPI 1063104057

NPI Information

  • NPI: 1063104057
  • Provider Name: SIDNEY JULES MELUGIN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2225 E HIGHRIDGE ST
    PARK CITY, KS
    ZIP 67219
  • Phone: (316) 213-9627

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NPI Details

Sidney Jules Melugin is a gerontology nurse practitioner in Park City, KS with 2 years of experience. Sidney Jules Melugin NPI is 1063104057. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2225 E HIGHRIDGE ST
PARK CITY, KS
ZIP 67219-567
Phone: (316) 213-9627

The NPI 1063104057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2023 and was last updated on 5/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology363LG0600XKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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