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MINI-CASSIA SURGICAL PC
NPI 1457656217
Surgery in Rupert, ID

Active since January 25, 2011
1218 9TH ST, STE 10, RUPERT, ID 83350(208) 436-8340(208) 436-3956 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mini-cassia Surgical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINI-CASSIA SURGICAL PC (NPI 1457656217) is a healthcare organization registered as a surgery in Rupert, Idaho and active in the NPI registry since January 2011. The organization lists Daclynn Scott Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1457656217
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMINI-CASSIA SURGICAL PC
Location Address1218 9TH ST, STE 10Rupert, ID 83350-2207
Mailing Address1218 9th St, Ste 10Rupert, ID 83350-2207 · (208) 436-8340 · Fax (208) 436-3956
Phone(208) 436-8340
Fax(208) 436-3956
Organization SubpartNo
Authorized OfficialDaclynn Scott JohnsonPresident · (208) 436-8340
Enumeration DateJanuary 25, 2011
✔ NPI 1457656217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ID · M7497
Definition
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.
1218 9TH ST, Rupert, ID 83350
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON RICHARD DUBOIS D.C.
Chiropractor
1218 9TH ST, STE 1
RUPERT, ID 83350
Minidoka County (208) 436-4100
MT. HARRISON AUDIOLOGY AND HEARING AIDS LLC
Clinic/Center (Hearing and Speech)
1218 9TH ST, UNIT 2
RUPERT, ID 83350
Minidoka County (208) 312-0957
MR. KERRY W SAUREY MD
Family Medicine
1218 9TH ST, STE 7
RUPERT, ID 83350
Minidoka County (208) 436-3161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mini-Cassia Surgical PC's NPI number?

The NPI number for Mini-Cassia Surgical PC is 1457656217. It was assigned to this organization in the NPPES registry on January 25, 2011.

Where is Mini-Cassia Surgical PC located?

Mini-Cassia Surgical PC is located at 1218 9th St Ste 10, Rupert, ID 83350. The listed phone number is (208) 436-8340.

What is Mini-Cassia Surgical PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mini-Cassia Surgical PC was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.