Individual provider Active NPI

Christopher Jordan Liby, DO

  • Surgery Physician
  • Baker City, OR
National Provider Identifier
1073826178
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO171722 Issued in OR
Practice address
3325 Pocahontas Road
Baker City, OR 97814-1464
Phone
(541) 523-1797
Fax
(541) 523-1799
NPI assigned
Jul 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101018888 MI
Surgery Physician 208600000X DO171722 OR Primary

Addresses

Primary practice location

3325 Pocahontas Road
Baker City, OR 97814-1464

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (541) 523-1797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220531000879 ID Practitioner - General Surgery 2668793480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weiser Valley Hospital DistrictGroup PAC ID 5294704276, 60 clinicians

Practice addresses (Care Compare)

645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 549-3152

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5101018888MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weiser Valley Hospital District Surgery CurrentSince Jul 28, 2025 Accepting new patients
Weiser Valley Hospital District CurrentSince Mar 1, 2022 Accepting new patients
Weiser Valley Hospital District CurrentSince Mar 1, 2022 Accepting new patients

Locations

360 E Liberty St
Weiser, ID 83672
Phone (208) 414-1124

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

Organizations & group practices 4

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1073826178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "541-523-1797",
            "fax_number": "541-523-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS ROAD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141464",
            "telephone_number": "541-523-1797",
            "fax_number": "541-523-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-17",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018888",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "DO171722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.