EAST IDAHO ORTHOPAEDICS, PLLC
EAST IDAHO ORTHOPAEDICS, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1144413154, based in Idaho Falls, ID. The organization lists 2 taxonomy classifications, with Sports Medicine (Orthopaedic Surgery) Physician recorded as primary.
Getting there
The practice address on file is 2210 CORONADO ST, Idaho Falls, ID 83404. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| M-10197 | ID | Orthopaedic Surgery Physician |
| M9781 | ID | Sports Medicine (Orthopaedic Surgery)… primary |
This provider holds licence M-10197 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2860783834
- Enrollment ID
- O20160622000945
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Sports Medicine covers
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. NUCC Health Care Provider Taxonomy, code 207XX0005X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery Physician | M-10197 | ID | |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician Sports Medicine | M9781 | ID | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1144413154 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 22, 2007 |
| Last updated | Nov 12, 2025 |
| Status | Active |
| Practice address |
2210 CORONADO ST Idaho Falls, ID 83404 (208) 522-3355 Fax (208) 522-6019 |
| Other names |
Liljenquist & Redd Orthopedic Surgery Former Legal Name |
| Other identifiers |
807709400
· Medicaid (ID) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 4 | 4 | 4 | 1 | 3 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 8 | 4 | 8 | 1 | 6 | 1 | 1 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.