Joseph Redford Liljenquist (NPI# 1558375568, PAC ID# 0840298097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1558375568 |
PAC ID by PECOS | 0840298097 |
Professional Enrollment ID | I20071116000439 |
Full Name | Joseph Redford Liljenquist |
Organization Legal Name | EAST IDAHO ORTHOPAEDICS PLLC |
Address |
3405 Merlin Dr Idaho Falls ID 83404-7430 |
Phone Number | 2085223355 |
Gender | M |
Credential | MD |
Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 2860783834 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
130065 | MOUNTAIN VIEW HOSPITAL |
Address | Phone | Organization |
---|---|---|
3405 Merlin Dr, Idaho Falls, ID 83404-7430 | 2085223355 | EAST IDAHO ORTHOPAEDICS PLLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | EAST IDAHO ORTHOPAEDICS PLLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brigham B Redd | Orthopedic Surgery | East Idaho Orthopaedics Pllc | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 |
Chad Coon | Physician Assistant | East Idaho Orthopaedics Pllc | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 |
Joshua L Gilgen | Physician Assistant | East Idaho Orthopaedics Pllc | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 |
Street Address |
3405 MERLIN DR |
City | IDAHO FALLS |
State | ID |
Zip | 83404-7430 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brigham B Redd | Orthopedic Surgery | East Idaho Orthopaedics Pllc | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 |
Chad Coon | Physician Assistant | East Idaho Orthopaedics Pllc | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 |
Joshua L Gilgen | Physician Assistant | East Idaho Orthopaedics Pllc | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
Find all physicians in zip 83404 |
City | IDAHO FALLS |
Zip Code | 83404 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | IDAHO FALLS + ORTHOPEDIC SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.