David R Liljenquist (NPI# 1932109931, PAC ID# 4587695218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1932109931 |
| PAC ID by PECOS | 4587695218 |
| Professional Enrollment ID | I20050823000476 |
| Full Name | David R Liljenquist |
| Organization Legal Name | ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA |
| Address |
444 Hospital Way Suite 611 Pocatello ID 83201-2744 |
| Phone Number | 2085231122 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5890750483 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| 130065 | MOUNTAIN VIEW HOSPITAL |
| 130028 | PORTNEUF MEDICAL CENTER |
| 530015 | ST JOHNS MEDICAL CENTER |
| 531313 | STAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2085231122 | ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA |
| 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744 | 2085231122 | ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 58% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 7% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 85% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 25% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 50% |
| Organization Legal Name | ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Matthews | Podiatry | Rocky Mountain Diabetes and Osteoporosis Center Pa | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 |
| Rebecca Tufts Sulik | Registered Dietitian Or Nutrition Professional | Rocky Mountain Diabetes and Osteoporosis Center Pa | 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744 |
| Joshua M Smith | Endocrinology | Rocky Mountain Diabetes and Osteoporosis Center Pa | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 |
| Barbara Jean Moulton | Registered Dietitian Or Nutrition Professional | Rocky Mountain Diabetes and Osteoporosis Center Pa | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 |
| Carl D Vance | Endocrinology | Rocky Mountain Diabetes and Osteoporosis Center Pa | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 |
| Brittany J Mcintosh | Registered Dietitian Or Nutrition Professional | Rocky Mountain Diabetes and Osteoporosis Center Pa | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 |
| Kathryn E Nielsen | Nurse Practitioner | Rocky Mountain Diabetes and Osteoporosis Center Pa | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 |
| John E Liljenquist | Endocrinology | Rocky Mountain Diabetes and Osteoporosis Center Pa | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 |
| Kesta L Taylor | Registered Dietitian Or Nutrition Professional | Rocky Mountain Diabetes and Osteoporosis Center Pa | 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744 |
| Lisa Ann Hardy | Registered Dietitian Or Nutrition Professional | Rocky Mountain Diabetes and Osteoporosis Center Pa | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 |
| Street Address |
444 HOSPITAL WAY SUITE 611 |
| City | POCATELLO |
| State | ID |
| Zip | 83201-2744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Tufts Sulik | Registered Dietitian Or Nutrition Professional | Rocky Mountain Diabetes and Osteoporosis Center Pa | 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744 |
| Ryan Ned Miller | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Jeffrey D Stucki | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Kelly A Lind | Clinical Social Worker | Portneuf Valley Family Center | 444 Hospital Way, Suite 477, Pocatello, ID 83201-2744 |
| Naeem Rahim | Nephrology | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Anne Marie Crosser | Occupational Therapy | Hand and Upper Extremity Center Inc | 444 Hospital Way, Suite 720, Pocatello, ID 83201-2745 |
| Liva Michelle Rigney-cox | Psychologist, Clinical | Portneuf Valley Family Center | 444 Hospital Way, Suite 477, Pocatello, ID 83201-2744 |
| Vermon Esplin | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Hira B Siktel | Internal Medicine | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Julio C Vasquez | Thoracic Surgery | Pocatello Health Services LLC | 444 Hospital Way, Suite 777, Pocatello, ID 83201-2744 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | POCATELLO + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on David R Liljenquist.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.