Travis Loidolt DO, Inc.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

TRAVIS LOIDOLT DO, INC.

Practice address

2220 E Bidwell St
Folsom, CA 95630-3463

Phone

(916) 800-4685

Fax

(916) 512-3901

NPI assigned

May 22, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Liz Scriven

Title

Credentialing

Phone

(209) 409-2585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Travis Loidolt D.O. Inc

  • Orthopaedic Surgery of the Spine Physician
  • Roseville, CA
  • NPI 1720649940

  4587991674

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian R Blackburn, D.O.

  • Orthopaedic Surgery Physician
  • Folsom, CA
  • NPI 1851687297
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1033732151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303463",
            "telephone_number": "916-800-4685",
            "fax_number": "916-512-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303463",
            "telephone_number": "916-800-4685",
            "fax_number": "916-512-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Bidwell St",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303539",
            "country_code": "US",
            "telephone_number": "916-800-4685",
            "fax_number": "916-512-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAVIS LOIDOLT DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "SCRIVEN",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "209-409-2585"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Ngoc-Thuy Tran, PH.D.
• Cynthia Tran
• Minh N Tran, DDS
• Tuan Tran
• James Trauth, M.D.
• Linda J Trettin, PH.D.
• Trevor Chen DDS Inc.
• Trinity Rescue LLC
• Karysa Leann Trombley
• Stephanie Trumm, RN, CARN, LAADC

• Orthopaedic Surgery of the Spine Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.