Provider Type Icon

TRAVIS D. RICHARDSON D.O. PLC NPI 1396144341


NPI Information

NPI: 1396144341
Provider Name: TRAVIS D. RICHARDSON, D.O. PLC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 04D2103869

Address:
1507 LINWOOD DR STE A
PARAGOULD, AR
ZIP 72450
Phone: (870) 239-8102
Get Directions

TRAVIS D. RICHARDSON, D.O. PLC is an orthopaedic surgery of the spine orthopaedic surgery in Paragould, 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, D.O. PLC NPI is 1396144341. The provider is registered as an organization entity type.

The provider's business location address is:

1507 LINWOOD DR STE A
PARAGOULD, AR
ZIP 72450-818
Phone: (870) 239-8102
Fax: (870) 239-8105

The provider's authorized official is Travis D Richardson .
The authorized official title is Doctor Of Osteopathic Medicine and has the following contact phone number (870) 239-8102.

The CLIA number assigned to this NPI record is 04D2103869 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2014 and was last updated on 4/24/2020.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
2207XS0117XOrthopaedic 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
1219624004MEDICAIDARKANSAS
2238889716MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.