Organization
HUNTSMAN ORTHOPAEDIC SURGERY AND SPORTS MEDICINE, P.A.
Active
Other names
Huntsman Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY I HUNTSMAN MD (OWNER)
(208) 522-6662
Entity
Organization
Contact information
Practice address
3300 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7592
(208) 522-6662
(208) 522-0880
Mailing address
3300 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7592
(208) 522-6662
(208) 522-0880
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M8232
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000100033201
BLUE SHIELD
ID
01
—
000010033201
MEDIVANTAGE BS
ID
01
—
028X3HU
BX MINNESOTA
MN
01
—
0543918
CONSULTEC INC
ID
01
—
117882200
WYOMING MEDICAID
WY
01
—
185596000
OWCP
ID
01
—
185596000
WASHINGTON LABOR
WA
01
—
185596600
US DEPARTMENT OF LABOR
ID
01
—
264199
ALTIUS
ID
01
—
43166
ANTHEM
ID
05
—
806072300
—
ID
Enumeration date
02/01/2007
Last updated
05/15/2026
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