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Deactivated NPI 1194779835 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore Lee Mobley , MD

Urology • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Theodore Mobley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 19, 2006
NPI Deactivation Date July 29, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Mobley, MD was a registered Urology practicing in Phoenix, AZ. Throughout an active medical career spanning 13 years, Dr. Mobley provided care at the practice location at 650 E INDIAN SCHOOL RD until profile deactivation on 2019-07-29.

Practice Location & Contact Primary Location

Practice Address

650 E Indian School Rd

Phoenix, AZ 850121839

Telephone 6022775551
Fax 6022006028
Associated Practice Facility / Clinic
🏢 Phoenix Vamc Facility NPI 1184682676

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.8 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
68 Specialists

Practicing in Phoenix, AZ (295 Statewide)

Telehealth Adoption Rate
32.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License AZ 4721

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Korena Fine , RN

Registered Nurse

NPI 1003003807

Registered Nurse

NPI 1003062837

Doctor of Pharmacy (Pharm.D.)

NPI 1003225673

Certified Nursing Assistant

NPI 1003588815

Doctor of Pharmacy (Pharm.D.)

NPI 1003647314
Dr. Venu Gopal , MD

Internal Medicine - Geriatric Medicine

NPI 1003853912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 29, 2019

Record deactivated on July 29, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 650 E INDIAN SCHOOL RD, PHOENIX, AZ 850121839 (Tel: 6022775551)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 26630, SCOTTSDALE, AZ 852550127 (Tel: 6022775551)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE MOBLEY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #4721 in AZ)

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Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194779835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: July 08, 2007
Deactivation Date: July 29, 2019

Mailing Address

Po Box 26630

Scottsdale, AZ 852550127

Phone: 6022775551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.