P Praxis·MD
● Active Type 2 · Organization

Black Canyon Medical Group Pllc

Family Medicine·Emmett, ID· NPI 1811419708 · Enumerated 2017 · 8 years on NPI
Black Canyon Medical Group Pllc is 1 of 1691 family medicine organizations in Idaho.
NPI age
8 years
Enumerated 2017-07-12
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McGuffey
Owner
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
8 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
426 Highway 16
Emmett, ID 836179461
📞 2083652735fax 2083652737
Mailing address
426 Highway 16
Emmett, ID 836179461
📞 2083652735fax 2083652737

Authorized official

Tina McGuffey, MD
Owner
📞 2083652735

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M9309 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (ID) 1346654589
05 (ID) 1306873435

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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