BLACKFOOT MEDICAL CLINIC SURGEONS
NPI 1740580794
Surgery in Blackfoot, ID

Active since October 25, 2010
1441 PARKWAY DR, BLACKFOOT, ID 83221(208) 785-2600 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blackfoot Medical Clinic Surgeons NPPES

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

BLACKFOOT MEDICAL CLINIC SURGEONS (NPI 1740580794) is a healthcare organization registered as a surgery in Blackfoot, Idaho and active in the NPI registry since October 2010. The organization lists Kerry Casperson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740580794
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBLACKFOOT MEDICAL CLINIC SURGEONS
Location Address1441 PARKWAY DRBlackfoot, ID 83221-1667
Mailing Address1441 Parkway DrBlackfoot, ID 83221-1667 · (208) 785-2600
Organization SubpartYesParent: Blackfoot Medical Clinic Inc
Authorized OfficialKerry CaspersonAdministrator · (208) 785-2600
Enumeration DateOctober 25, 2010
NPI 1740580794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1441 PARKWAY DR, Blackfoot, ID 83221

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 20

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

Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Pediatrics
1441 PARKWAY DR
BLACKFOOT, ID 83221
Family Medicine
1441 PARKWAY DR
BLACKFOOT, ID 83221
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
1441 PARKWAY DR
BLACKFOOT, ID 83221
Physical Therapist
1441 PARKWAY DR
BLACKFOOT, ID 83221
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221

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 Blackfoot Medical Clinic Surgeons's NPI number?

The NPI number for Blackfoot Medical Clinic Surgeons is 1740580794. It was assigned to this organization in the NPPES registry on October 25, 2010.

Where is Blackfoot Medical Clinic Surgeons located?

Blackfoot Medical Clinic Surgeons is located at 1441 Parkway Dr, Blackfoot, ID 83221. The listed phone number is (208) 785-2600.

What is Blackfoot Medical Clinic Surgeons's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Blackfoot Medical Clinic Surgeons was last updated on October 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.