NPI age
15 years
Enumerated 2011-01-25
● Active Type 2 · Organization
Mini-Cassia Surgical Pc
Mini-Cassia Surgical Pc 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
Johnson
President
Last NPPES update
2011-01-25
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 · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1218 9th St, Ste 10
Rupert, ID 833502207
Mailing address
1218 9th St, Ste 10
Rupert, ID 833502207
Authorized official
Daclynn Scott Johnson, M.D.
President
📞 2084368340
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Jason Dubois, D.C. Chiropractor NPI 1043457252
- Kerry Saurey, MD Family Medicine NPI 1598798282
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. 2 individual providers on file at this primary address.
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