MINI-CASSIA SURGICAL PC (NPI# 1457656217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457656217 |
| Entity Type | Organization |
| Organization Name | MINI-CASSIA SURGICAL PC |
| Practice Address |
1218 9th St Ste 10 Rupert ID 83350-2207 |
| Practice Telephone | 2084368340 |
| Practice Fax Number | 2084363956 |
| Mailing Telephone | 2084368340 |
| Mailing Fax Number | 2084363956 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | DR. DACLYNN SCOTT JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 2084368340 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | M7497 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1218 9TH ST STE 10 |
| City | RUPERT |
| State | ID |
| Zip Code | 83350-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598798282 | Kerry W Saurey | Family Medicine | 1218 9th St, Ste 7, Rupert, ID 83350 | 2006-07-08 |
| 1891101937 | Aaron Catmull | Nurse Practitioner | 1218 9th St, Rupert, ID 83350-2207 | 2014-07-09 |
| 1467871913 | Mt. Harrison Audiology and Hearing Aids LLC | Clinic/Center | 1218 9th St, Unit 2, Rupert, ID 83350-2207 | 2014-04-14 |
| 1437408416 | Heather Jill Simonson | Physician Assistant | 1218 9th St, Ste 12, Rupert, ID 83350-2207 | 2012-09-05 |
| 1043457252 | Jason Richard Dubois | Chiropractor | 1218 9th St, Ste 1, Rupert, ID 83350-2207 | 2009-01-09 |
| 1619900305 | Don C Pates | Family Medicine | 1218 9th St, Ste 7, Rupert, ID 83350 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417349515 | Robbie Joe Carroll | Registered Nurse | 1024 8th Street, Family Health Services, Rupert, ID 83350 | 2015-02-26 |
| 1285921643 | Duane Broderick | Counselor | 2311 Parke Ave., Ste. 8, Burley, ID 83350 | 2011-07-06 |
| 1093761694 | Family Health Services Corporation | Dental Hygienist | 402 6th St, Rupert, ID 83350 | 2006-05-25 |
| 1376531004 | Jeffrey Scott Swenson | Family Medicine | 1308 8th St Ste 1, Rupert, ID 83350 | 2005-10-06 |
| 1205312774 | Shawna M Mccaffrey | Nurse Practitioner | 1308 8th St, Rupert, ID 83350 | 2018-07-17 |
| 1386872810 | Brian R Muir | Family Medicine | 1308 8th St Ste 1, Rupert, ID 83350 | 2009-06-23 |
| 1083816334 | Cameron Mchan | Nurse Practitioner | 1308 8th St Ste 1, Rupert, ID 83350 | 2007-05-31 |
| 1134225956 | Margo Saunders | Specialist | 1308 8th St Ste 1, Rupert, ID 83350 | 2006-09-16 |
| 1740680404 | Peggy Goodman | Physical Therapist | 610 18th St, Rupert, ID 83350-1027 | 2014-09-01 |
| 1578550547 | Janet King | Family Medicine | 1024 8th St, Rupert, ID 83350-1306 | 2005-10-04 |
| Find all providers in zip 83350 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A 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 soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790809952 | Leo R Brown | Surgery | 133 W 400 N, Rupert, ID 83350-8547 | 2007-03-16 |
| 1639260565 | Daclynn Johnson | Surgery | 1218 9th St Ste 10, Rupert, ID 83350-2207 | 2006-09-27 |
| 1528478294 | Brandon Beck | Surgery | 1218 9th St Ste 10, Rupert, ID 83350-2207 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790340834 | Idaho Surgical, LLC | Surgery | 6195 E Hunt Ave, Nampa, ID 83687-8317 | 2019-05-03 |
| 1982178596 | Huntington Laparoscopy, PC | Surgery | 222 N 2nd St Ste 107, Boise, ID 83702-6129 | 2019-01-16 |
| 1508350331 | Matthew Jacobsson | Surgery | 2920 N High Desert Way, Meridian, ID 83646-9066 | 2018-06-15 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| 1326385410 | Robert Henry Morrell | Surgery | 2061 S Springbrook Ln, Boise, ID 83706 | 2013-01-09 |
| 1992040356 | Sandpoint Surgical Associates | Surgery | 502 N Second Ave, Suite 3, Sandpoint, ID 83864-1558 | 2012-12-11 |
| 1063774727 | Ciara Rosemary Huntington | Surgery | 222 North 2nd Street, Suite 107, Boise, ID 83702 | 2012-06-08 |
| 1093086589 | Robert Sumner West | Surgery | 3621 W Fairway Dr, Coeur D Alene, ID 83815-9049 | 2012-01-16 |
| 1790012383 | Brian E O'byrne, M.d. P.a. | Surgery | 2860 Channing Way Ste 117, Idaho Falls, ID 83404-7532 | 2009-11-03 |
| 1679716591 | Daniel Paul Gay | Surgery | 404 Elm Street, Caldwell, ID 83605 | 2009-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.