Active NPI
Huntsman Orthopaedic Surgery and Sports Medicine, P.a.
- Orthopaedic Surgery Physician
- Idaho Falls, ID
National Provider Identifier
1811035090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M8232
- Legal business name
- HUNTSMAN ORTHOPAEDIC SURGERY AND SPORTS MEDICINE, P.A.
- Practice address
- 3300 Washington Pkwy
Idaho Falls, ID 83404-7592 - Phone
- (208) 522-6662
- Fax
- (208) 522-0880
- NPI assigned
- Feb 1, 2007
- Last updated
- May 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey I Huntsman, MD
- Title
- Owner
- Phone
- (208) 522-6662
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M8232 | ID | Primary |
Addresses
Primary practice location
3300 Washington Pkwy
Idaho Falls, ID 83404-7592
Mailing address
3300 Washington Pkwy
Idaho Falls, ID 83404-7592
Phone (208) 522-6662
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010033201 | Other | ID | MEDIVANTAGE BS |
| 264199 | Other | ID | ALTIUS |
| 0000100033201 | Other | ID | BLUE SHIELD |
| 117882200 | Other | WY | WYOMING MEDICAID |
| 0543918 | Other | ID | CONSULTEC INC |
| 185596600 | Other | ID | US DEPARTMENT OF LABOR |
| 028X3HU | Other | MN | BX MINNESOTA |
| 185596000 | Other | WA | WASHINGTON LABOR |
| 43166 | Other | ID | ANTHEM |
| 185596000 | Other | ID | OWCP |
| 43166 | Other | ID | BLUE CROSS IDAHO HMO |
| 806072300 | Medicaid | ID |
Other names 1
- Huntsman Orthopedics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1932136512
-
- Physician Assistant
- Idaho Falls, ID
- NPI 1417065483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778803200000",
"number": "1811035090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 WASHINGTON PKWY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047592",
"telephone_number": "208-522-6662",
"fax_number": "208-522-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 WASHINGTON PKWY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047592",
"telephone_number": "208-522-6662",
"fax_number": "208-522-0880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTSMAN ORTHOPAEDIC SURGERY AND SPORTS MEDICINE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A",
"authorized_official_last_name": "HUNTSMAN",
"authorized_official_first_name": "CASEY",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-522-6662",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M8232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIVANTAGE BS",
"identifier": "000010033201",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "264199",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0000100033201",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYOMING MEDICAID",
"identifier": "117882200",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSULTEC INC",
"identifier": "0543918",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "185596600",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX MINNESOTA",
"identifier": "028X3HU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON LABOR",
"identifier": "185596000",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "43166",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "185596000",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS IDAHO HMO",
"identifier": "43166",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806072300",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Huntsman Orthopedics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.