Dynamic Surgical Care, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M6262 Issued in ID

Legal business name

DYNAMIC SURGICAL CARE, INC.

Practice address

1603 12TH Ave Rd Ste E
Nampa, ID 83686-6100

Phone

(208) 463-1455

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jim Valentine, M.D.

Title

President

Phone

(208) 463-1455

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487766465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 12TH AVE RD STE E",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866100",
            "telephone_number": "208-463-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 12TH AVE RD STE E",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866100",
            "telephone_number": "208-463-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SURGICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-463-1455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "ID",
            "license": "M6262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy A Dufur, PT ATC
• Rebekah Dunkley, PHARMD
• Taylor Christine Duplex, FNP-C
• Kami Dwello
• Chad Dwyer, PHARMD
• James R Dzur, MD
• Eagle Creek Ranch Recovery, LLC
• Carolyn Eardley, LMSW
• Clara Earl, LCSW
• Elizabeth Ann Earnest, DC

• Surgery Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.