DR. RICHARD D TRAVERS (NPI# 1821093634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821093634 |
| Entity Type | Individual |
| Full Name | DR. RICHARD D TRAVERS |
| Credential | MD |
| Practice Address |
8640 Sudley Rd Ste 201 Manassas VA 20110-4404 |
| Practice Telephone | 7033686819 |
| Practice Fax Number | 7033302923 |
| Mailing Telephone | 7033686819 |
| Mailing Fax Number | 7033302923 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2012-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101025413 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MAMSI | 34543 | 01 |
| VA | CAREFIRST | 92130002 | 01 |
| VA | CIGNA | 0329497001 | 01 |
| VA | AETNA HMP/PPO | 4285237 | 01 |
| VA | 006082319 | 05 | |
| VA | ANTHEM/MANASSAS | 071109 | 01 |
| VA | ANTHEM/WARRENTON | 071113 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952895690 | Richard James Travers | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2018-06-16 |
| 1902942840 | Richard Gordon Travers | Psychologist | 24 Fifth Ave, Apt 602, New York, NY 10011 | 2007-01-29 |
| 1801805171 | Richard Scott Travers | Physical Therapist | 1105 53rd Ave E, Bradenton, FL 34203-4897 | 2006-08-05 |
| Street Address |
8640 SUDLEY RD STE 201 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538076 | Edward C Kim | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| 1548502347 | Kibbum Kang | Nurse Practitioner | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2013-03-20 |
| 1689806531 | Christa M Purdum | Physician Assistant | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2009-08-11 |
| 1245475607 | Michelle Bachtold | Physician Assistant | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2008-12-12 |
| 1720253503 | Tinatin Khizanishvili O'connell | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2008-04-23 |
| 1992828693 | Paul O Arnold | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2007-04-09 |
| 1093828147 | Nina Phatak | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2006-08-15 |
| 1023057445 | Myung W Choi | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2006-06-05 |
| 1154377497 | Darren S Baroni | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2006-05-26 |
| 1225033038 | Jin Hong Park | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871953349 | Sarah Rosenthal | Specialist | 8480 Signal Hill Rd Apt 301, Manassas, VA 20110-7034 | 2016-02-26 |
| 1710110366 | Haysam Baho | Specialist | 9548 Surveyor Ct, Manassas, VA 20110-4406 | 2009-08-31 |
| 1497927537 | W James Werner Md Family Medicine Plc | Specialist | 8575 Sudley Rd, Suite A & B, Manassas, VA 20110-3861 | 2008-03-28 |
| 1932250982 | V.r Veerapalli M.d PC. | Specialist | 9615 Champion Ct, Manassas, VA 20110-4402 | 2007-01-16 |
| 1790845493 | Russell G Johnston | Specialist | Prince William Hospital, 8700 Sudley Road, Manassas, VA 20011-4418 | 2006-12-11 |
| 1265459341 | Keith Sumner Albertson | Specialist | 9379 Forestwood Ln, Manassas, VA 20110-4701 | 2006-07-16 |
| 1194772665 | Behdad Aryavand | Specialist | 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 | 2006-05-28 |
| 1164475653 | Patty Cruz | Specialist | 7928 Donegan Dr, Manassas, VA 20109-2870 | 2006-05-18 |
| 1205805306 | Alison Ansher | Specialist | 9301 Lee Ave, Manassas, VA 20110 | 2006-03-14 |
| 1164422994 | Randolph W Stark | Specialist | 10680 Crestwood Dr Ste B, Manassas, VA 20109-4402 | 2005-07-22 |
| Find all providers in MANASSAS | ||||
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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.