Individual
DR. CASEY I HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 WASHINGTON PARKWAY, 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 OF IDAHO
ID
01
—
000010033201
MEDIVANTAGE BS
ID
01
—
0167194
WASHINGTON DOL
WA
01
—
028X3HU
BLUE CROSS OF MINNESOTA
MN
01
—
0543918
CONSULTEC INCD
ID
01
—
117882200
WYOMING MEDICAID
WY
01
—
185596000
OWCP
ID
01
—
185596600
US DEPARTMENT OF LABOR
KY
01
—
200041252
RAILROAD MEDICARE
ID
01
—
264199
ALTIUS
UT
01
—
43166
BLUE CROSS OF IDAHO
ID
01
—
76929
BLUE CROSS OF IDAHO
ID
05
—
806072300
—
ID
Enumeration date
06/27/2006
Last updated
05/15/2026
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