OrganizationActive
Blackfoot Medical Clinic Surgeons
NPI 1740580794 · Surgery Physician · Blackfoot, ID
Blackfoot Medical Clinic Surgeons is a Surgery Physician organization in Blackfoot, ID (NPI 1740580794).
Provider details
- NPI number
- 1740580794
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Blackfoot Medical Clinic Inc
- Organization subpart
- Yes
- Authorized official
- Kerry Casperson, Administrator(208) 785-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1441 Parkway Dr
Blackfoot, ID 83221-1667
Phone: (208) 785-2600
Street-level locationGet directions
Mailing address
1441 Parkway Dr
Blackfoot, ID 83221-1667
Registry dates
- Enumerated
- 2010-10-25
- Last updated
- 2010-10-25
Frequently asked questions
- What is Blackfoot Medical Clinic Surgeons's NPI number?
- Blackfoot Medical Clinic Surgeons's National Provider Identifier (NPI) is 1740580794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackfoot Medical Clinic Surgeons?
- Blackfoot Medical Clinic Surgeons is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Blackfoot Medical Clinic Surgeons located?
- Blackfoot Medical Clinic Surgeons's practice location on file with NPPES is 1441 Parkway Dr, Blackfoot, ID 83221-1667.
- What is Blackfoot Medical Clinic Surgeons's phone number?
- The practice phone number listed in the NPPES registry for Blackfoot Medical Clinic Surgeons is (208) 785-2600.
- Who is the authorized official for Blackfoot Medical Clinic Surgeons?
- The authorized official listed on Blackfoot Medical Clinic Surgeons's NPPES record is Kerry Casperson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackfoot Medical Clinic Surgeons's NPI active?
- Yes — Blackfoot Medical Clinic Surgeons's NPI (1740580794) is active in the NPPES registry as of the last update on 2010-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.