Maria Theresa Rodriguez Travis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C6465 Issued in AR

Practice address

5 Lorian Cir
Little Rock, AR 72212-2662

Phone

(501) 912-3953

NPI assigned

Sep 26, 2006

Last updated

Jul 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Theresa Travis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springhill Family Medicine PA

  • Family Medicine Physician
  • North Little Rock, AR
  • NPI 1588651988
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1285735654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LORIAN CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122662",
            "telephone_number": "501-912-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LORIAN CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122662",
            "telephone_number": "501-912-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ TRAVIS",
        "first_name": "MARIA",
        "middle_name": "THERESA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6465",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AR",
            "license": "C-6465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115541001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "TRAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Theonita Diane Rodgers
• Vaquita Rodgers
• Sondra Rodocker, IBCLC
• Zoe Rodrigues
• Jorge Luis Rodriguez Lee, MD
• Sebastian Alfonso Rodriguez-Torres, MD
• Analiz Rodriguez, MD, PHD
• Ashley Lynn Rodriguez
• Brigitte Jazmin Rodriguez
• Jessica Limayra Rodriguez, MD

• Family Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.