Travis D Richardson (NPI# 1598771214, PAC ID# 2163407867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1598771214 |
| PAC ID by PECOS | 2163407867 |
| Professional Enrollment ID | I20060407000280 |
| Full Name | Travis D Richardson |
| Organization Legal Name | TRAVIS D. RICHARDSON, D.O. PLC |
| Address |
1507 Linwood Dr Suite A Paragould AR 72450-5818 |
| Phone Number | 8702398102 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5799903316 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040039 | ARKANSAS METHODIST MEDICAL CENTER |
| 040020 | ST BERNARDS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1507 Linwood Dr, Suite A, Paragould, AR 72450-5818 | 8702398102 | TRAVIS D. RICHARDSON, D.O. PLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 52% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | TRAVIS D. RICHARDSON, D.O. PLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Combs | Nurse Practitioner | Travis D. Richardson, D.o. Plc | 1507 Linwood Dr, Suite A, Paragould, AR 72450-5818 |
| Kurt R Piatkowski | Orthopedic Surgery | Travis D. Richardson, D.o. Plc | 1507 Linwood Dr, Suite A, Paragould, AR 72450-5818 |
| Edison Mcdaniels Ii | Neurosurgery | Travis D. Richardson, D.o. Plc | 4000 Linwood Dr, Suite I, Paragould, AR 72450-7224 |
| Street Address |
1507 LINWOOD DR SUITE A |
| City | PARAGOULD |
| State | AR |
| Zip | 72450-5818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Combs | Nurse Practitioner | Travis D. Richardson, D.o. Plc | 1507 Linwood Dr, Suite A, Paragould, AR 72450-5818 |
| Kurt R Piatkowski | Orthopedic Surgery | Travis D. Richardson, D.o. Plc | 1507 Linwood Dr, Suite A, Paragould, AR 72450-5818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Cullins | Optometry | Jonathan B. Ross Od Pa | 2802 W Kingshighway, Paragould, AR 72450-2617 |
| Roger E Cagle | Family Medicine | Cr Doc Pllc | 2700 W Kingshighway, Suite 4, Paragould, AR 72450-2637 |
| Toni T Garner | Nurse Practitioner | Cr Doc Pllc | 2700 W Kingshighway, Suite 4, Paragould, AR 72450-2637 |
| Deborah A Miles | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Pamela G Ramirez | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Heather E Bastel | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Teri S Gill Butler | Optometry | 2711 W Kingshighway, Suite 4, Paragould, AR 72450-2645 | |
| Joel Matthew Inman | Chiropractic | Inman Chiropractic and Rehabilitation Center Pllc | 2711 W Kingshighway, Suite 14, Paragould, AR 72450-2645 |
| William E Fisher | Chiropractic | 105 Reynolds Rd, Paragould, AR 72450-2710 | |
| April L Towell | Clinical Social Worker | Families, Inc of Arkansas | 1101 W Morgan St, Suite 8, Paragould, AR 72450-2848 |
| Find all physicians in zip 72450 | |||
| City | PARAGOULD |
| Zip Code | 72450 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PARAGOULD + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Travis D Richardson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.