BRIAN WILLOUGHBY M.D. P.C. (NPI# 1841483120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841483120 |
| Entity Type | Organization |
| Organization Name | BRIAN WILLOUGHBY M.D. P.C. |
| Practice Address |
255 Detroit St Denver CO 80206-4833 |
| Practice Telephone | 3033205700 |
| Practice Fax Number | 3033226129 |
| Mailing Telephone | 3033205700 |
| Mailing Fax Number | 3033226129 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | BRIAN WILLOUGHBY (OWNER) |
| Authorized Official Telephone | 3033205700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
40115 | CO | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 40115 | CO | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
DR.0040115 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | 463768 | 01 | |
| CO | 28836235 | 05 |
| Street Address |
255 DETROIT ST |
| City | DENVER |
| State | CO |
| Zip Code | 80206-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437111010 | Michael Ament | Psychiatry & Neurology | 255 Detroit St, Denver, CO 80206-4833 | 2006-04-06 |
| 1962425710 | Brian J Willoughby | Ophthalmology | 255 Detroit St, Denver, CO 80206-4833 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831632710 | Artisan Md Pllc | Ophthalmology | 2500 Rocky Mountain Ave, Suite 350, Loveland, CO 80538-9004 | 2016-11-28 |
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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.