DEREK LEE WILLS (NPI# 1164937785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164937785 |
| Entity Type | Individual |
| Full Name | DEREK LEE WILLS |
| Credential | CNIM |
| Practice Address |
10233 S Parker Rd Parker CO 80134-9314 |
| Mailing Address |
1000 S Broadway Apt 357 Denver CO 80209-4170 |
| Practice Telephone | 7202873093 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588043616 | Derek Jason Wills | Optometrist | 7474 Towne Center Pkwy, Ste 107, Papillion, NE 68046-4805 | 2015-05-21 |
| 1841513157 | Derek M Wills | Physician Assistant | 1 Choctaw Way, Talihina, OK 74571-2022 | 2010-03-02 |
| Street Address |
10233 S PARKER RD |
| City | PARKER |
| State | CO |
| Zip Code | 80134-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316006505 | Susanna Choi | Obstetrics & Gynecology | 10233 S Parker Rd, Unit 200, Parker, CO 80134-9314 | 2006-12-06 |
| 1982074043 | Ardas Family Dental PC | Dentist | 10233 S Parker Rd, #205, Parker, CO 80134-9314 | 2015-10-01 |
| 1396136008 | Parker Iom LLC | Specialist/Technologist, Other | 10233 S Parker Rd, Suite 105, Parker, CO 80134-9314 | 2015-02-17 |
| 1598156358 | Inspired Life Counseling and Coaching,llc | Social Worker | 10233 S Parker Rd, Suite 300, Parker, CO 80134-9314 | 2015-02-13 |
| 1497159297 | Perri Corvino | Counselor | 10233 S Parker Rd, Parker, CO 80134-9314 | 2014-10-22 |
| 1134466402 | Floss Dental | Dentist | 10233 S Parker Rd, Suite 203, Parker, CO 80134-9314 | 2013-01-07 |
| 1215271374 | Matthew A Metz Md PC | Surgery | 10233 S Parker Rd, Ste 202, Parker, CO 80134-9314 | 2012-11-15 |
| 1902159684 | Corva Clinics, LLC - Gulf Coast | Clinic/Center | 10233 S Parker Rd, Suite 300, Parker, CO 80134-9314 | 2012-10-18 |
| 1366628877 | Roopindar Kattaura | Dentist | 10233 S Parker Rd, #205, Parker, CO 80134-9314 | 2008-01-15 |
| 1891817037 | Kristin Joanne Grant | Social Worker | 10233 S Parker Rd, Suite 300, Parker, CO 80134-9314 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1821499625 | Nerve One, LLC | Specialist/Technologist, Other | 10940 S Parker Rd # 241, Parker, CO 80134-7440 | 2014-09-11 |
| 1861657413 | Beth Ann Lindstrom | Specialist/Technologist, Other | 10233 S Parker Rd Ste 105, Parker, CO 80134-9314 | 2008-07-23 |
| 1831357748 | Michael White | Specialist/Technologist, Other | 10410 Crestone Needles Cir, Parker, CO 80138-8334 | 2008-05-28 |
| 1487862199 | Devin Reilly | Specialist/Technologist, Other | 10940 S Parker Rd # 130, Parker, CO 80134-7440 | 2007-05-18 |
| 1003034679 | Richard A Flores | Specialist/Technologist, Other | 10940 S Parker Rd, #130, Parker, CO 80134-7440 | 2007-04-21 |
| 1245866607 | Zachery A Cramblit | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134-7440 | 2020-03-18 |
| 1851886907 | Tony Perrin | Specialist/Technologist, Other | 10233 S Parker Rd Ste 105, Parker, CO 80134-9314 | 2018-06-29 |
| 1396136008 | Parker Iom LLC | Specialist/Technologist, Other | 10233 S Parker Rd, Suite 105, Parker, CO 80134-9314 | 2015-02-17 |
| 1093923781 | Glenn Oremus | Specialist/Technologist, Other | 10940 S Parker Rd # 130, Parker, CO 80134-7440 | 2007-05-18 |
| Find all providers in PARKER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.