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UPPER VALLEY ORTHOPEDICS, PLLC
NPI 1184799298
Specialist in Rexburg, ID

Active since November 22, 2006
360 E MAIN ST, REXBURG, ID 83440(208) 356-9550(208) 356-8023 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Upper Valley Orthopedics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPPER VALLEY ORTHOPEDICS, PLLC (NPI 1184799298) is a healthcare organization registered as a specialist in Rexburg, Idaho and active in the NPI registry since November 2006. The organization lists Michael J Larson, Owner, as its authorized official.

NPPES Registry Identity

NPI1184799298
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUPPER VALLEY ORTHOPEDICS, PLLC
Location Address360 E MAIN STRexburg, ID 83440-2015
Mailing Address360 E Main StRexburg, ID 83440-2015 · (208) 356-9550 · Fax (208) 356-8023
Phone(208) 356-9550
Fax(208) 356-8023
Organization SubpartNo
Authorized OfficialMichael J LarsonOwner · (208) 356-9550
Enumeration DateNovember 22, 2006
Last NPPES UpdateNovember 19, 2009
✔ NPI 1184799298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M5158
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
360 E MAIN ST, Rexburg, ID 83440
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Other Identifiers 4

Medicaid808017600ID
Medicare UPINC47903ID
Medicare NSC0410830001ID
Medicare UPINM7310ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRAVIS ROY TORNGREN MD
Orthopaedic Surgery
360 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-9550
ZACKERY J CLEVERLEY PA-C
Orthopaedic Surgery
360 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-9550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upper Valley Orthopedics, PLLC's NPI number?

The NPI number for Upper Valley Orthopedics, PLLC is 1184799298. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Upper Valley Orthopedics, PLLC located?

Upper Valley Orthopedics, PLLC is located at 360 E Main St, Rexburg, ID 83440. The listed phone number is (208) 356-9550.

What is Upper Valley Orthopedics, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Upper Valley Orthopedics, PLLC was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.