DR. MARK DOUGLAS TRAVIS (NPI# 1760455281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760455281 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS TRAVIS |
| Credential | M.D., PH.D. |
| Practice Address |
One Hospital Drive Columbia MO 65212-0001 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738821161 |
| Practice Fax Number | 5738848876 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2012004015 | MO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01055735A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255749 | Mark Wilson Travis | Marriage & Family Therapist | 345 Knechtel Way Ne Ste 111, Bainbridge Island, WA 98110-2834 | 2019-10-03 |
| 1598772329 | Mark H Travis | Optometrist | 4687 Stonewall Xing, Springdale, AR 72764-8579 | 2006-08-02 |
| 1558593236 | Mark Travis | Counselor | 8561 Fenton St, Ste 230, Silver Spring, MD 20910-4455 | 2009-08-14 |
| 1699862540 | Mark Clarence Travis | Counselor | 250 S Henry St, Delaware, OH 43015-2978 | 2006-10-10 |
| 1083690093 | Mark S Travis | Internal Medicine | 1229 N North Branch St, Suite 210, Chicago, IL 60622-2473 | 2005-12-21 |
| Street Address |
ONE HOSPITAL DRIVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447745260 | Lawrence Xuan Zhang | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-25 |
| 1528553492 | David Win Lee | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1699260562 | Ian Thomas Lynch | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1992290852 | Nicholas Brian Epstein | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1447745302 | Meenakshi Praharaju Giri | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1982199840 | Tamar Gubeladze | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1316432289 | Tyler James Maxey | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1033604905 | Richard Dale Swaney | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1205321171 | Ali Ahsen Syed | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1700371671 | Kayci Rachele Huslig | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
| 1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1467993386 | Iv Radiology Medical Group | Radiology | 10000 Town Center Ave, Apt 244, Columbia, MD 21044-5418 | 2017-03-10 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| 1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
| 1669836292 | Brian Trissell | Radiology | 1 Hospital Drive Dc069.10, Columbia, MO 65212 | 2016-04-10 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1750765558 | Joel Schmidt | Radiology | 1 Hospital Drive, Dc069.10, Columbia, MO 65212 | 2015-07-13 |
| Find all providers in COLUMBIA | ||||
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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.