NPI age
18 years
Enumerated 2007-09-06
● Active Type 2 · Organization
Michael R Dibenedetto MD Pllc
Michael R Dibenedetto MD Pllc is 1 of 239 orthopaedic surgery organizations in Idaho.
Primary specialty
Orthopaedic Surgery
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Garman
Practice Manager
Last NPPES update
2021-05-07
Source: monthly bulk 2026-05
How this organization compares
Across 239 active orthopaedic surgery providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 45% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
30544 Hwy 200, Ste 102
Ponderay, ID 83852
Mailing address
30544 Hwy 200, Ste 102
Ponderay, ID 83852
Authorized official
Daniel P Garman
Practice Manager
📞 2082659817
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | DG3627 | PALMETTO GBA RAILROAD MED |
| 05 (ID) | 806452000 | |
| 01 (ID) | 000010140056 | REGENCE BLUE SHIELD |
| 01 (ID) | 8N259 | BLUE CROSS |
Other names on file (4)
Doing-business-as, former, and alternate names recorded by NPPES.
-
North Idaho Cardiac Rehabilitation
-
North Idaho Orthopedics & Sports Medicine
-
Woodlands Family Medicine
-
North Idaho Orthopedics & Sports Medicine
Practice context
Single-site organization. Only one practice location on file.
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