Organization Active NPI

Trevor Richard MD Apmc

  • Long Term Care Hospital
  • Bossier City, LA
National Provider Identifier
1780907360
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
202291 Issued in LA
Legal business name
TREVOR RICHARD MD APMC
Practice address
2525 Viking Dr
Bossier City, LA 71111-2103
Phone
(318) 747-5377
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Dr. Trevor C Richard, M.D.NPI 1588875017
Title
Provider
Phone
(318) 518-6091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 202291 LA Primary

Addresses

Primary practice location

2525 Viking Dr
Bossier City, LA 71111-2103

Mailing address

4855 Airline Dr
Bossier City, LA 71111-6600
Phone (318) 747-5377

Other identifiers 1

IdentifierTypeStateIssuer
1079464MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1780907360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711116600",
            "telephone_number": "318-747-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 VIKING DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112103",
            "telephone_number": "318-747-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR RICHARD MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "318-518-6091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "202291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079464",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.