DR. LISA R RENDON M.D.
NPI 1528049178
Orthopaedic Surgery - Hand Surgery in Eagle, ID

Q: What is Lisa Rendon's NPI number?

The NPI number for Lisa Rendon is 1528049178. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Lisa Rendon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Rendon was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 10, 2005

3381 W BAVARIA ST, EAGLE, ID 83616(208) 287-1110(208) 639-4801 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Lisa R Rendon M.d. NPPES

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

DR. LISA R RENDON M.D. (NPI 1528049178) is an individual hand surgery provider in Eagle, Idaho, licensed in Idaho (M9105) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1528049178

Entity TypeIndividualFemale

Primary Taxonomy207XS0106X

Provider Legal NameDR. LISA R RENDONCredential: M.D.

Location Address3381 W BAVARIA STEagle, ID 83616-5341

Mailing Address3381 W Bavaria StEagle, ID 83616-5341 · (208) 287-1110 · Fax (208) 639-4801

Phone(208) 287-1110

Fax(208) 639-4801

Sole ProprietorYes

Enumeration DateNovember 10, 2005

Last NPPES UpdateMay 22, 2012

✔ NPI 1528049178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in ID · M9105

Definition

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.

3381 W BAVARIA ST, Eagle, ID 83616

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINI17562ID

Medicare NSC5625420001ID

Medicaid807057200ID

Medicare ID-Type Unspecified1107435ID

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.

CHRISTI E FRANKS FNP-BC

Nurse Practitioner (Family)

3381 W BAVARIA ST
EAGLE, ID 83616

Ada County (208) 639-4800

DR. VIPUL N NANAVATI MD, BSME, CAQH

Orthopaedic Surgery

3381 W BAVARIA ST
EAGLE, ID 83616

Ada County (208) 639-4800

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 Lisa Rendon's NPI number?

The NPI number for Lisa Rendon is 1528049178. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Lisa Rendon located?

Lisa Rendon practices at 3381 W Bavaria St, Eagle, ID 83616. The listed phone number is (208) 287-1110.

What is Lisa Rendon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

When was this NPI record last updated?

The NPPES record for Lisa Rendon was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.