DR. TRAVIS RICHARD LIDDELL (NPI# 1144232042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144232042 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS RICHARD LIDDELL |
| Credential | M.D. |
| Practice Address |
2908 E. 26th St. Sioux Falls SD 57103-4034 |
| Mailing Address |
911 E 20th St Ste 300 Sioux Falls SD 57105-1045 |
| Practice Telephone | 6053362638 |
| Practice Fax Number | 6053343500 |
| Mailing Telephone | 6053221300 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 8782 | SD | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 13909 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6402660 | 05 |
| Street Address |
2908 E. 26TH ST. |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57103-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467752899 | Avera Mckennan | Podiatrist | 2908 E. 26th St., Sioux Falls, SD 57103-4034 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072858 | Tasha Leigh Vanrooyen | Massage Therapist | 3400 Southeastern Avenue, Sioux Falls, SD 57103 | 2018-11-20 |
| 1407377328 | Minnehaha Health Supplies | Durable Medical Equipment & Medical Supplies | Sioux Falls - Cna Building, 101 South Reid Street, Suite 307, Sioux Falls, SD 57103 | 2017-06-30 |
| 1811378771 | African Community Center of Sioux Falls | Non-emergency Medical Transport (VAN) | 1515 East 10th Street, Sioux Falls, SD 57103 | 2015-06-16 |
| 1033596861 | Raichatou Ann Jackson | Clinical Nurse Specialist | 4308 Est 9th St, Sioux Falls, SD 57103 | 2015-04-30 |
| 1538551668 | Wendy Jo Kranzler | Occupational Therapist | 4500 Prince of Peace, Sioux Falls, SD 57103 | 2015-02-26 |
| 1932477205 | Alpha Sigma Health Group, Inc. | Home Health | 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 | 2011-12-01 |
| 1629207089 | Andrea R Tuley | Registered Nurse | 1312 E. 11th Street, Sioux Falls, SD 57103 | 2009-07-07 |
| 1891920054 | Great Plains Chiropractic & Wellness LLC | Chiropractor | 3233 S. Sycamore Ave., Sioux Falls, SD 57103 | 2009-05-18 |
| 1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
| 1255518619 | Mobile Sonographers Inc | Spec/Tech, Cardiovascular | 2307 E Harriet Lea St, Sioux Falls, SD 57103 | 2008-01-29 |
| Find all providers in zip 57103 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325375 | Osd Care of Sd, LLC | Orthopaedic Surgery | 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 | 2019-06-14 |
| 1982821898 | Michael Coale Devish | Orthopaedic Surgery | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2007-04-20 |
| 1861615155 | Patrick Mark O'brien | Orthopaedic Surgery | 911 E 20th St Ste 300, Sioux Falls, SD 57105-1045 | 2007-04-11 |
| 1679524805 | Thomas A Ambrose II | Orthopaedic Surgery | 911 E. 20th St., Ste. 300, Sioux Falls, SD 57105-1045 | 2006-05-12 |
| 1437123320 | Erik Douglas Peterson | Orthopaedic Surgery | 810 E 232rd St, Sioux Falls, SD 57105 | 2006-02-15 |
| 1275530644 | Timothy L Walker | Orthopaedic Surgery | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2005-06-30 |
| 1861022543 | Manus, LLC | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2020-01-22 |
| 1669735676 | Harvey Anthony Oliver IIi | Orthopaedic Surgery | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2012-06-25 |
| 1366702326 | Jonathon Ross Geisinger | Orthopaedic Surgery | 810 E 23rd St, Sioux Falls, SD 57105 | 2012-05-24 |
| 1285993899 | Specialty Orthopedics Prof LLC | Orthopaedic Surgery | 1727 S Cleveland Ave, Sioux Falls, SD 57103-3245 | 2012-05-16 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.