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

Last updated

Feb 21, 2008By the provider in NPPES

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.NPI 1528049178

Title

M.D./Owner

Phone

(208) 287-1110

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa R Rendon, M.D.

  • Orthopaedic Hand Surgery Physician
  • Eagle, ID
  • NPI 1528049178
  Authorized official Same address or phone

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 (The Brick House)
• 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.