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TRAVIS D RICHARDSON DO PLLC NPI 1265614309


NPI Information

NPI: 1265614309
Provider Name: TRAVIS D RICHARDSON, DO, PLLC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
555 W 6TH ST
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 424-4507
Get Directions

TRAVIS D RICHARDSON, DO, PLLC is an orthopaedic surgery of the spine orthopaedic surgery in Mountain Home, AR. The provider is 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. TRAVIS D RICHARDSON, DO, PLLC NPI is 1265614309. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 W 6TH ST
MOUNTAIN HOME, AR
ZIP 72653-409
Phone: (870) 424-4507
Fax: (870) 425-4546

The provider's authorized official is Travis Dale Richardson .
The authorized official title is President and has the following contact phone number (870) 424-4507.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineE4201ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15939000001MEDICARE NSCARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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