Organization Active NPI

Huntsman Orthopaedic Surgery and Sports Medicine, P.a.

  • Orthopaedic Surgery Physician
  • Idaho Falls, ID
National Provider Identifier
1811035090
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M8232 Issued in ID
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Casey I Huntsman, MDNPI 1932136512
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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000010033201OtherIDMEDIVANTAGE BS
264199OtherIDALTIUS
0000100033201OtherIDBLUE SHIELD
117882200OtherWYWYOMING MEDICAID
0543918OtherIDCONSULTEC INC
185596600OtherIDUS DEPARTMENT OF LABOR
028X3HUOtherMNBX MINNESOTA
185596000OtherWAWASHINGTON LABOR
43166OtherIDANTHEM
185596000OtherIDOWCP
43166OtherIDBLUE CROSS IDAHO HMO
806072300MedicaidID

Other names 1

  • Huntsman Orthopedics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071108000061 ID Part B Supplier - Clinic/Group Practice 2163519141 Receives reassigned benefits from 3 practitioners
Practice locations: Idaho Falls, ID
O20100930053942 ID DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2163519141 Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.