TRAVIS ROY TORNGREN (NPI# 1508086844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508086844 |
| Entity Type | Individual |
| Full Name | TRAVIS ROY TORNGREN |
| Credential | MD |
| Practice Address |
360 E Main St Rexburg ID 83440-2015 |
| Practice Telephone | 2083569550 |
| Practice Fax Number | 2083568023 |
| Mailing Telephone | 2083569550 |
| Mailing Fax Number | 4159281035 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | M-11045 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1184799298 | 05 |
| Street Address |
360 E MAIN ST |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184799298 | Upper Valley Orthopedics, Pllc | Specialist | 360 E Main St, Rexburg, ID 83440-2015 | 2006-11-22 |
| 1518476092 | Zackery J Cleverley | Orthopaedic Surgery | 360 E Main St, Rexburg, ID 83440-2015 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104833227 | Ronald G Mills | Orthopaedic Surgery | 10 Madison Professional Park, Rexburg, ID 83440 | 2006-08-02 |
| 1518960087 | Michael J Larson | Orthopaedic Surgery | 360 East Main, Rexburg, ID 83440 | 2005-05-27 |
| 1518476092 | Zackery J Cleverley | Orthopaedic Surgery | 360 E Main St, Rexburg, ID 83440-2015 | 2017-09-27 |
| 1730602756 | Madison Co Memorial Hospital | Orthopaedic Surgery | 393 E 2nd N, Rexburg, ID 83440-1605 | 2017-07-21 |
| 1356629885 | Matheau Eysser | Orthopaedic Surgery | 393 E 2nd N, Rexburg, ID 83440-1605 | 2011-08-02 |
| 1518960079 | Kevin M Lee | Orthopaedic Surgery | 360 East Main, Rexburg, ID 83440 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101594 | Brittney Davis | Orthopaedic Surgery | 5910 W Targee St, Boise, ID 83709-3151 | 2020-07-08 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1942668157 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 1789 S Broadway Ave, Suite 100, Boise, ID 83706-3800 | 2016-02-02 |
| 1053779264 | Allied Orthopaedics, LLC | Orthopaedic Surgery | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 | 2016-02-02 |
| 1841611027 | Christopher Frederic Jessen | Orthopaedic Surgery | 5475 E Shoreline Dr, Post Falls, ID 83854-6858 | 2013-12-14 |
| 1881934404 | Kym Orthopedics Pllc | Orthopaedic Surgery | 3316 4th St #4b, Lewiston, ID 83501-4405 | 2013-02-19 |
| 1891056826 | Jonathan Klaucke | Orthopaedic Surgery | 606 N Third Ave Ste 201, Sandpoint, ID 83864 | 2012-06-06 |
| 1508168139 | Lyman Orthopedics Pllc | Orthopaedic Surgery | 1875 N Lakewood Dr, Suite 200, Coeur D Alene, ID 83814-4928 | 2010-12-02 |
| 1639495708 | Krysten Marie Bell | Orthopaedic Surgery | 2178 S Myers Pl, Boise, ID 83706-5503 | 2010-04-14 |
| 1700114725 | David Louis Schenkar | Orthopaedic Surgery | 110 E Gulch Rd, Hailey, ID 83333-8496 | 2009-12-02 |
| Find all providers with the same taxonomy | ||||
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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.