DR. TRAVIS DALE RICHARDSON (NPI# 1598771214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598771214 |
Entity Type | Individual |
Full Name | DR. TRAVIS DALE RICHARDSON |
Credential | D.O. |
Practice Address |
1507 Linwood Dr Ste A Paragould AR 72450-5818 |
Practice Telephone | 8702398102 |
Mailing Telephone | 8702398102 |
Mailing Fax Number | 8702398105 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 036111236 | IL | Allopathic & Osteopathic Physicians |
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
E4201 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE GROUP # | 833230 | 01 |
IL | 036111236 | 05 | |
AR | 160451003 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4000 Linwood Dr, Suite I, Paragould, AR 724508894 | 8702398102 | 8702398105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700485430 | Travis William Richardson | Counselor | 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 | 2020-10-23 |
1558687806 | Travis Dennis Richardson | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2010-04-12 |
1073606984 | Travis A Richardson | Obstetrics & Gynecology | 1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123-7085 | 2006-10-02 |
1174569180 | Travis Bernard Richardson | Internal Medicine | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2006-06-20 |
Street Address |
1507 LINWOOD DR STE A |
City | PARAGOULD |
State | AR |
Zip Code | 72450-5818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275159295 | Holly Mcguire | Registered Nurse | 1507 Linwood Dr Ste A, Paragould, AR 72450-5818 | 2020-06-25 |
1609419266 | North Arkansas Orthopedic & Surgery Associates | Orthopaedic Surgery | 1507 Linwood Dr Ste A, Paragould, AR 72450-5818 | 2019-10-25 |
1881160240 | Leslee Everett | Physician Assistant | 1507 Linwood Dr Ste A, Paragould, AR 72450-5818 | 2018-10-23 |
1396144341 | Travis D. Richardson, D.o. Plc | Durable Medical Equipment & Medical Supplies | 1507 Linwood Dr Ste A, Paragould, AR 72450-5818 | 2014-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
Find all providers in zip 72450 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609419266 | North Arkansas Orthopedic & Surgery Associates | Orthopaedic Surgery | 1507 Linwood Dr Ste A, Paragould, AR 72450-5818 | 2019-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407068562 | Arkansas Back Institute Pa | Orthopaedic Surgery | 2425 Dave Ward Drive, Suite 201, Conway, AR 72034 | 2007-05-03 |
1558921320 | Sark Care of Ar, LLC | Orthopaedic Surgery | 900 Se 5th St Ste 22, Bentonville, AR 72712-6090 | 2019-06-14 |
1265614309 | Travis D Richardson, Do, Pllc | Orthopaedic Surgery | 555 W 6th St, Mountain Home, AR 72653-3409 | 2007-11-30 |
1932242153 | Jared Justin Seale | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2007-02-15 |
1407811169 | David Michael Arnold | Orthopaedic Surgery | 2425 Dave Ward Dr, Suite 201, Conway, AR 72034-8686 | 2006-04-18 |
1598743759 | Richard D Peek | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
1801874078 | Edward H Saer IIi | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
1952389280 | Wayne L Bruffett | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2006-01-06 |
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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.