EAST IDAHO ORTHOPAEDICS, PLLC – NPI #1144413154
Orthopaedic Surgery
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.
EAST IDAHO ORTHOPAEDICS, PLLC is an orthopaedic surgeon located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1144413154 to EAST IDAHO ORTHOPAEDICS, PLLC on August 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine
The NPI profile was last updated on Nov 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST IDAHO ORTHOPAEDICS, PLLC below.
NPI Profile for
EAST IDAHO ORTHOPAEDICS, PLLC
(about 19 years ago)
IDAHO FALLS, ID 83404-7430 Phone: (208) 522-3355 Fax: (208) 522-6019
1 Other location(s):
Rexburg, ID 83440-3503
Phone: (208) 522-3355
Fax: (208) 522-6019
PRESIDENT
Phone: (208) 522-3355
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for EAST IDAHO ORTHOPAEDICS, PLLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | ID | 807709400 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207XX0005X - Orthopaedic Surgery / Sports Medicine (Primary) |
ID | M9781 |
| 207X00000X - Orthopaedic Surgery |
ID | M-10197 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.