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M R HINCKLEY MD PLLC
NPI 1902171895
Dermatology - MOHS-Micrographic Surgery in Midvale, UT

Active since March 12, 2012
602 FORT UNION BLVD, 2ND FLOOR, MIDVALE, UT 84047(801) 313-1010(801) 747-2116 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About M R Hinckley Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M R HINCKLEY MD PLLC (NPI 1902171895) is a healthcare organization registered as a mohs-micrographic surgery in Midvale, Utah and active in the NPI registry since March 2012. The organization lists Michael Richard Hinckley, Owner, as its authorized official.

NPPES Registry Identity

NPI1902171895
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameM R HINCKLEY MD PLLC
Location Address602 FORT UNION BLVD, 2ND FLOORMidvale, UT 84047-2216
Mailing Address602 Fort Union Blvd, 2nd FloorMidvale, UT 84047-2216 · (801) 313-1010 · Fax (801) 747-2116
Phone(801) 313-1010
Fax(801) 747-2116
Organization SubpartNo
Authorized OfficialMichael Richard HinckleyOwner · (801) 313-1010
Enumeration DateMarch 12, 2012
✔ NPI 1902171895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in UT · 76133041205
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
602 FORT UNION BLVD, Midvale, UT 84047
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN JEFFERY WILLIAMS MD
Dermatology
602 FORT UNION BLVD, 2ND FLOOR
MIDVALE, UT 84047
Salt Lake County (801) 313-1010
BRIAN J WILLIAMS MD PC
Dermatology
602 FORT UNION BLVD, 2ND FLOOR
MIDVALE, UT 84047
Salt Lake County (801) 313-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M R Hinckley MD PLLC's NPI number?

The NPI number for M R Hinckley MD PLLC is 1902171895. It was assigned to this organization in the NPPES registry on March 12, 2012.

Where is M R Hinckley MD PLLC located?

M R Hinckley MD PLLC is located at 602 Fort Union Blvd 2nd Floor, Midvale, UT 84047. The listed phone number is (801) 313-1010.

What is M R Hinckley MD PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for M R Hinckley MD PLLC was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.