MEDICARE: DR. MELANY A HIGGINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	40203	CO
2	208M00000X	Hospitalist Physician	40203	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	013687	OTHER		KAISER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1598892176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANY A HIGGINS MD

Provider Business Mailing Address
First Line	:	10350 E DAKOTA AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-1314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 S PARKER RD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80014-1622
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	06/22/2021

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