Active NPI
Dr Lloyd C Trichell PA
- Podiatrist
- Fayetteville, AR
National Provider Identifier
1073727756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 116
- Legal business name
- DR LLOYD C TRICHELL PA
- Doing business as
- Fayetteville Podiatry
- Practice address
- 509 E Millsap Rd
Ste. 101
Fayetteville, AR 72703-4067 - Phone
- (479) 587-0171
- Fax
- (479) 587-0885
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Terry Trichell
- Title
- Office Manager
- Phone
- (479) 587-0171
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 116 | AR | Primary |
| Podiatrist | 213E00000X | 172 | OK | |
| Podiatrist | 213E00000X | 0902 | TX |
Addresses
Primary practice location
509 E Millsap Rd
Ste. 101
Fayetteville, AR 72703-4067
Mailing address
PO Box 1705
Fayetteville, AR 72702-1705
Phone (479) 587-0171
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5843039 | Other | AETNA | |
| 387675 | Other | HEALTHLINK | |
| 119165717 | Medicaid | AR | |
| 15934000000 | Other | AR | QUALCHOICE OF ARKANSAS |
| 56240 | Other | AR | CHAMPUS |
| 148124748 | Medicaid | AR | |
| 56240 | Other | AR | BC/BS |
| 2720061 | Other | UNITED HEALTHCARE |
Other names 1
- Fayetteville Podiatry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Fayetteville, AR
- NPI 1902239486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1073727756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1705",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021705",
"telephone_number": "479-587-0171",
"fax_number": "479-587-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 E MILLSAP RD",
"address_2": "STE. 101",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034067",
"telephone_number": "479-587-0171",
"fax_number": "479-587-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR LLOYD C TRICHELL PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "TRICHELL",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "479-587-0171",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "AR",
"license": "116",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OK",
"license": "172",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "0902",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5843039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "387675",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119165717",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE OF ARKANSAS",
"identifier": "15934000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "56240",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148124748",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "56240",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2720061",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fayetteville Podiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.