DR. TRAVIS DALE RICHARDSON


Address: 1507 Linwood Dr Ste A, Paragould, AR 72450-5818
Phone: 8702398102

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE GROUP # 833230 01
IL 036111236 05
AR 160451003 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4000 Linwood Dr, Suite I, Paragould, AR 724508894 8702398102 8702398105

Other Providers TRAVIS RICHARDSON

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

Office Location

Street Address 1507 LINWOOD DR STE A
City PARAGOULD
State AR
Zip Code 72450-5818

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City PARAGOULD
Zip Code 72450

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Dataset Information

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.

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