National Provider Identifier Database

MICHAEL R DIBENEDETTO MD PLLC
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.


Contact Information

MICHAEL R DIBENEDETTO MD PLLC
30544 HWY 200
STE 102
PONDERAY, ID83852
Phone: 208-265-9836
Fax: 208-263-7249
Website:
Specialty Taxonomy Code
* Orthopaedic Surgery 207X00000X
Rehabilitation: Cardiac Facilities 261QR0404X

* Indicates primary specialty

NPI Profile & details for MICHAEL R DIBENEDETTO MD PLLC

NPI Number 1083809727
Legal business name
LBN
MICHAEL R DIBENEDETTO MD PLLC
Authorized official DANIEL GARMAN - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/06/2007
Last updated 05/07/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 806452000
  • ID Other: 8N259 BLUE CROSS
  • ID Other: DG3627 PALMETTO GBA RAILROAD MED
  • ID Other: 000010140056 REGENCE BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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