Active NPI
Willcoll, LLC
- Clinical Neurophysiology Physician
- Lone Tree, CO
National Provider Identifier
1558789495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 20141104585
- Legal business name
- WILLCOLL, LLC
- Practice address
- 9695 S Yosemite St
#377
Lone Tree, CO 80124-2888 - Phone
- (303) 814-1340
- Fax
- (303) 814-1134
- NPI assigned
- Mar 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lloyd Wesley Mobley III, M.D.
- Title
- Owner
- Phone
- (720) 985-5899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 20141104585 | CO | Primary |
Addresses
Primary practice location
9695 S Yosemite St
#377
Lone Tree, CO 80124-2888
Mailing address
9695 S Yosemite St
#377
Lone Tree, CO 80124-2888
Phone (303) 814-1340
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412294400000",
"number": "1558789495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9695 S YOSEMITE ST",
"address_2": "#377",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242888",
"telephone_number": "303-814-1340",
"fax_number": "303-814-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9695 S YOSEMITE ST",
"address_2": "#377",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242888",
"telephone_number": "303-814-1340",
"fax_number": "303-814-1134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLCOLL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-28",
"last_updated": "2014-10-03",
"status": "A",
"authorized_official_last_name": "MOBLEY",
"authorized_official_first_name": "LLOYD",
"authorized_official_middle_name": "WESLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-985-5899",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CO",
"license": "20141104585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
- Whole Food Nutrition, LLC
- Whole Health Integrated Medicine (Quantum Health Solutions Group)
- Adrian Wierzbiak
- Jordan Wikert, RN
- Beverly A Wilkerson, PT
- William B. Schoolcraft M.D. P.C
- William B. Schoolcraft M.D. P.C (Colorado Center for Reproductive Medicine)
- Caitlin M Williams, LPC, NCC
- Christopher Gerald Williams
- Jennifer Rae Williams, RN, BSN, CCRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.