NPI age
15 years
Enumerated 2010-10-25
● Active Type 2 · Organization
Subpart
Blackfoot Medical Clinic Surgeons
Blackfoot Medical Clinic Surgeons is 1 of 260 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Casperson
Administrator
Last NPPES update
2010-10-25
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-10Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1441 Parkway Dr
Blackfoot, ID 832211667
Mailing address
1441 Parkway Dr
Blackfoot, ID 832211667
Authorized official
Kerry Casperson
Administrator
📞 2087852600
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jason Bailey, PHARM.D Pharmacist NPI 1730171356
- Nicole Bair, DPT Physical Therapist NPI 1467942144
- Danielle Bangerter, FNP-C Nurse Practitioner NPI 1164204368
- Max Barney Nurse Practitioner NPI 1720448590
- Paul Beckett, DO Family Medicine NPI 1831115757
- Ryan Bichsel Nurse Practitioner NPI 1699576835
- Brian Boehme Physical Therapist NPI 1164445086
- Steven Clinger, MD Family Medicine NPI 1790722841
- Gordon Dixon, DO Family Medicine NPI 1578518395
- Sadie Ellis, DPT Physical Therapist NPI 1326285560
- Debra Erramouspe, PA Physician Assistant NPI 1144264532
- Matthew Fackrell, DO Family Medicine NPI 1215968045
- Douglas Gilbert, NP Nurse Practitioner NPI 1285661033
- Rhonda Grandee, PA Physician Assistant NPI 1184668139
- Guss Grimmett, NP Nurse Practitioner NPI 1881620730
- Heather Grimmett, PA Physician Assistant NPI 1073792586
- George Hales, MD Family Medicine NPI 1356665087
- Francis Johansen, D.O. Internal Medicine NPI 1447253968
- Andrew McAbery, PT Physical Therapist NPI 1932365418
- Kirt McKinlay, MD Family Medicine NPI 1902843089
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Blackfoot Medical Clinic Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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