P Praxis·MD
● Active Type 1 · Individual

Johnathan Beau Liljenquist, DO

Internal Medicine·Idaho Falls, ID· NPI 1558985408 · Enumerated 2020 · 5 years on NPI
Liljenquist is 1 of 32 internal medicine providers in Idaho Falls and 1 of 504 in Idaho.
NPI age
5 years
Enumerated 2020-06-05
Primary specialty
Internal Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 504 active internal medicine providers in Idaho.

NPI age
5 years
↓ 11 yr below median (16 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
44% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
2442 E 25th St
Idaho Falls, ID 834047549
📞 2085227310
Mailing address
2442 E 25th St
Idaho Falls, ID 834047549
📞 2085227310

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    ID license #O-1865 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new internal medicine provider has been added in Idaho Falls in the last 180 days. See all →
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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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