MIRANDA MICHELLE VAN DAM CSFA
NPI 1902565682
Specialist/Technologist, Other - Surgical Assistant in Meridian, ID

Q: What is Miranda Van Dam's NPI number?

The NPI number for Miranda Van Dam is 1902565682. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Q: What is Miranda Van Dam's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Van Dam was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 10, 2021

500 S. EAGLE RD., MERIDIAN, ID 83642(208) 706-8101 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miranda Michelle Van Dam Csfa NPPES

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

MIRANDA MICHELLE VAN DAM CSFA (NPI 1902565682) is an individual surgical assistant in Meridian, Idaho, licensed in Idaho (205983) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1902565682

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameMIRANDA MICHELLE VAN DAMCredential: CSFA

Location Address500 S. EAGLE RD.Meridian, ID 83642

Mailing Address3595 W Spruce Creek DrMeridian, ID 83642-4217 · (208) 602-7289

Phone(208) 706-8101

Sole ProprietorNo

Enumeration DateDecember 10, 2021

NPPES CertifiedDecember 6, 2021

✔ NPI 1902565682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in ID · 205983

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

500 S. EAGLE RD., Meridian, ID 83642

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Other Identifiers 1

Other205983ID · National Board Of Surgical Technology And Surgical Assisting

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 Miranda Van Dam's NPI number?

The NPI number for Miranda Van Dam is 1902565682. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Miranda Van Dam located?

Miranda Van Dam practices at 500 S. Eagle Rd., Meridian, ID 83642. The listed phone number is (208) 706-8101.

What is Miranda Van Dam's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Miranda Van Dam was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.