Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528049178 Individual Practitioner Female Practitioner

Dr. Lisa R Rendon , MD

Orthopaedic Surgery - Hand Surgery • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Rendon, MD is a registered healthcare professional specializing in Orthopaedic Surgery - Hand Surgery in Eagle, ID. Practice services are available at 3381 W BAVARIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3381 W Bavaria St

Eagle, ID 836165341

Telephone 2082871110
Fax 2086394801
Associated Practice Facility / Clinic
🏢 Idaho Hand And Wrist Facility NPI 1891734729

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Eagle, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Eagle, ID (19 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License ID M9105

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
807057200 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1629074158

Doctor of Medicine (M.D.), BSME, CAQH

Dr. Carl Humphrey , MD

Orthopaedic Surgery

NPI 1811978778

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2012

Registered at 3381 W BAVARIA ST, EAGLE, ID 836165341 (Tel: 2082871110)

📍
Updated Business Mailing Address May 22, 2012

Registered at 3381 W BAVARIA ST, EAGLE, ID 836165341 (Tel: 2082871110)

👤
Provider Name / Credentials Updated May 22, 2012

Recorded as LISA RENDON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2012

Orthopaedic Surgery (License #M9105 in ID)

🟢
Initial NPI Registration & Enumeration November 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528049178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2005
Last Update: May 22, 2012
Sole Proprietor: Yes

Mailing Address

3381 W Bavaria St

Eagle, ID 836165341

Phone: 2082871110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.