DR. LISA R RENDON M.D.
NPI 1528049178
Orthopaedic Surgery - Hand Surgery in Eagle, ID

NPI Status: Active since November 10, 2005

Contact Information

3381 W BAVARIA ST
EAGLE, ID
ZIP 83616
Phone: (208) 287-1110
Fax: (208) 639-4801

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  • Individual
  • Female
  • Orthopaedic Surgery
  • Hand Surgery

About LISA RENDON

This page provides the complete NPI Profile along with additional information for Lisa Rendon, a provider established in Eagle, Idaho with a medical specialization in Orthopaedic Surgery, focusing in hand surgery . The healthcare provider is registered in the NPI registry with number 1528049178 assigned on November 2005. The practitioner's primary taxonomy code is 207XS0106X with license number M9105 (ID). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1528049178
Provider Name
DR. LISA R RENDON M.D.
Gender
Female
Entity Type
Individual
Location Address
3381 W BAVARIA ST EAGLE, ID 83616
Location Phone
(208) 287-1110
Location Fax
(208) 639-4801
Mailing Address
3381 W BAVARIA ST EAGLE, ID 83616
Mailing Phone
(208) 287-1110
Mailing Fax
(208) 639-4801
Is Sole Proprietor?
Yes
Enumeration Date
11-10-2005
Last Update Date
05-22-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Hand Surgery

Taxonomy Code
207XS0106X
Type
Allopathic & Osteopathic Physicians
License No.
M9105
License State
ID
Taxonomy Description
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I17562MEDICARE UPIN (02)ID 
5625420001MEDICARE NSC (07)ID 
807057200MEDICAID (05)ID 
1107435MEDICARE ID-TYPE UNSPECIFIED (04)ID 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528049178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25480418114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 4 + 1 + 8 + 1 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1528049178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629074158DR. VIPUL N NANAVATI MD, BSME, CAQH
Individual
Orthopaedic Surgery3381 W BAVARIA ST
EAGLE, ID 83616
(208) 639-4800
1609230374 CHRISTI E FRANKS FNP-BC
Individual
Nurse Practitioner (Family)3381 W BAVARIA ST
EAGLE, ID 83616
(208) 639-4800
1164917779 JOSEPH P KELLY DO
Individual
Orthopaedic Surgery3381 W BAVARIA ST
EAGLE, ID 83616
(208) 639-4800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528049178, enumerated in the NPI registry as an "individual" on November 10, 2005

The provider is located at 3381 W Bavaria St Eagle, Id 83616 and the phone number is (208) 287-1110

The provider's speciality is Orthopaedic Surgery with taxonomy code 207XS0106X with a focus in Hand Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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