Active NPI
Christopher Jordan Liby, DO
- Surgery Physician
- Baker City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DO171722
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 549-3152
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101018888 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weiser Valley Hospital District | Surgery | Current | Accepting new patients |
| Weiser Valley Hospital District | Current | Accepting new patients | |
| Weiser Valley Hospital District | Current | 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.
-
- Family Medicine Physician
- Weiser, ID
- NPI 1255364030
-
- Critical Access Hospital
- Weiser, ID
- NPI 1881641629
-
- Critical Access Hospital
- Boise, ID
- NPI 1639373772
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- Critical Access Hospital
- Weiser, ID
- NPI 1881641629
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.