Michael R Dibenedetto MD PLLC
Michael R Dibenedetto MD PLLC is an Orthopaedic Surgery Physician in Ponderay, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
30544 Hwy 200 Ste 102Ponderay, ID 83852
Phone: (208) 265-9836
Fax: (208) 263-7249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X |
|---|---|
| Cardiac Rehabilitation Clinic/Center | Taxonomy 261QR0404X |
Record details
| NPI number | 1083809727 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kirsten Eveland — Practice Manager · (208) 265-9817 |
| Other names | North Idaho Cardiac Rehabilitation; North Idaho Orthopedics & Sports Medicine; North Idaho Orthopedics & Sports Medicine; Woodlands Family Medicine |
| NPI enumerated | September 6, 2007 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
| Mailing address | 30544 Highway 200 Ste 102, Ponderay, ID 83852-5005 |
Other providers in Ponderay
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Michael Raymond Dibenedetto, MD
30544 Highway 200 Ste 102, Ponderay, ID 83852-5005 · (208) 265-9817