Idaho Hand and Wrist

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

M9105 Issued in ID

Legal business name

IDAHO HAND AND WRIST

Practice address

1520 W State St
Suite 220
Boise, ID 83702-4038

Phone

(208) 287-1110

Fax

(208) 287-2010

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Lisa R Rendon, M.D.

Title

M.D./Owner

Phone

(208) 287-1110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1891734729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 W STATE ST",
            "address_2": "SUITE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024038",
            "telephone_number": "208-287-1110",
            "fax_number": "208-287-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W STATE ST",
            "address_2": "SUITE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024038",
            "telephone_number": "208-287-1110",
            "fax_number": "208-287-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO HAND AND WRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "208-287-1110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "M9105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Family Wellness
• Idaho Federtion of Families
• Idaho Foot & Ankle Associates
• Idaho Gastroenterology Associates, LLP
• Idaho GYN/Oncology Services, LLC
• Idaho Hand Center, PA
• Idaho Health Screenings & Vaccinations
• Idaho Heart Care
• Idaho Institute of Gender and Sex Therapy
• Idaho Interventional Pain Center

• Orthopaedic Hand Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Orthopaedic Hand Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.