Travis D. Richardson, D.O. PLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

E4201 Issued in AR

Legal business name

TRAVIS D. RICHARDSON, D.O. PLC

Practice address

1507 Linwood Dr Ste a
Paragould, AR 72450-5818

Phone

(870) 239-8102

Fax

(870) 239-8105

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Travis D Richardson, D.O.

Title

Doctor of Osteopathic Medicine

Phone

(870) 239-8102

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1396144341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LINWOOD DR STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505818",
            "telephone_number": "870-239-8102",
            "fax_number": "870-239-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 LINWOOD DR STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505818",
            "telephone_number": "870-239-8102",
            "fax_number": "870-239-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Linwood Dr",
            "address_2": "Suite I",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724507223",
            "country_code": "US",
            "telephone_number": "870-239-8102",
            "fax_number": "870-239-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAVIS D. RICHARDSON, D.O. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR OF OSTEOPATHIC MEDICINE",
        "authorized_official_telephone_number": "870-239-8102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AR",
            "license": "E4201",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219624004",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238889716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April L Towell, LCSW
• Emalee Love Towell, LMSW
• Jessica Towell
• Jordon Towell, DO
• Taylor Grace Trail
• Patricia Lynn Treece
• Haylee Tribble
• Ronald V Trimm, LPC
• Jon Clifford Tripod, P.T,
• Shannon S Tripod, PTA

• Orthopaedic Surgery of the Spine Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Orthopaedic Surgery of the Spine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.