Blackfoot Medical Clinic Surgeons
NPI 1740580794ActiveOrganization· Surgery· Blackfoot, ID
Surgery in Blackfoot, Idaho, registered in NPPES in October 2010, part of Blackfoot Medical Clinic Inc. The authorized official on file is Kerry Casperson, Administrator.
Overview
| NPI | 1740580794 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Blackfoot Medical Clinic Inc |
| NPI issued | Oct 25, 2010 |
| Last updated in NPPES | Oct 25, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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