P Praxis·MD
● Active Type 1 · Individual

Joseph R Liljenquist, MD

Orthopaedic Surgery·Idaho Falls, ID· NPI 1558375568 · Enumerated 2006 · 19 years on NPI
Liljenquist is 1 of 3 orthopaedic surgery providers in Idaho Falls and 1 of 25 in Idaho.
NPI age
19 years
Enumerated 2006-07-27
Primary specialty
Orthopaedic Surgery
Plus 1 subspecialty
Licensed in
ID, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-09-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 25 active orthopaedic surgery providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 72% — 28% of peers are multi-state
Subspecialties
0
44% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
2210 Coronado St
Idaho Falls, ID 83404
📞 2085223355fax 2085226019
Mailing address
2210 Coronado St
Idaho Falls, ID 83404
📞 2085223355fax 2085226019

Specialties

  • Orthopaedic Surgery Primary
    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...
    ID license #M9781OH license #3587652 taxonomy 207XX0005X

Identifiers

TypeValueNotes
05 (ID) 807709400
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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