Larry G Mobly, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2025 Issued in OK

Practice address

15679 NE 23Rd St
Choctaw, OK 73020-8592

Phone

(405) 390-1800

Fax

(405) 390-3846

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1629009931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269064",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269064",
            "telephone_number": "405-390-1800",
            "fax_number": "405-390-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15679 NE 23RD ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208592",
            "telephone_number": "405-390-1800",
            "fax_number": "405-390-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLY",
        "first_name": "LARRY",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100430B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darian Yea Miller, MFT-C
• Jennifer Lynn Miller, BCBA
• Mendi J Mills, BASOCIOLOGY
• Esther Mary Mitchell
• Kelly Dawn Moak, PA-C
• Caree Moon, PTA
• Jamie Sue Moseley
• Taylor Newman
• Mindy Truc Ngo, RPH
• Nhat Nguyen

• Family Medicine Physician in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.