MELINDA M MIDGLEY MD NPI 1760587653

NPI Information

NPI: 1760587653
Provider Name: MELINDA M MIDGLEY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 11724 S STATE ST
DRAPER, UT
ZIP 84020
Phone: (801) 576-2092

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NPI Details

Melinda M Midgley, MD is a family medicine in Draper, UT with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Melinda M Midgley, MD NPI is 1760587653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

11724 S STATE ST
DRAPER, UT
ZIP 84020-163
Phone: (801) 576-2092
Fax: (801) 576-2093

The NPI 1760587653 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 9/14/2006 and was last updated on 1/27/2025.

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
1	207Q00000X	Family Medicine		4792541-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	870293873MID	OTHER	UTAH	EMIA
2	63122	OTHER	UTAH	PEHP
3	QM0000046556	OTHER	UTAH	ALTIUS
4	107008945101	OTHER	UTAH	SELECT HEALTH
5	670074	OTHER	UTAH	DESERET MUTUAL BENEFIT AS
6	D3560	MEDICAID	UTAH
7	87029387384062B002	OTHER	UTAH	TRICARE
8	47925411200001	OTHER	UTAH	BLUE CROSS/BLUE SHIELD

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: 11/21/2025

NPI Synchronization or Removal

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