Magic Valley Surgery Clinic, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

M-5842 Issued in ID

Legal business name

MAGIC VALLEY SURGERY CLINIC, PA

Practice address

630 Addison Ave W Ste 230
Twin Falls, ID 83301-5474

Phone

(208) 736-8735

Fax

(208) 736-5999

NPI assigned

Jun 22, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen E Schmid, M.D.NPI 1184660953

Title

Owner

Phone

(208) 736-8735

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen E Schmid, MD

  • Surgery Physician
  • Twin Falls, ID
  • NPI 1184660953
  Authorized official Same address or phone
• John Urrutia, P.A.C

  • Medical Physician Assistant
  • Twin Falls, ID
  • NPI 1831290097
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1699971192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ADDISON AVE W STE 230",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015474",
            "telephone_number": "208-736-8735",
            "fax_number": "208-736-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ADDISON AVE W STE 230",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015474",
            "telephone_number": "208-736-8735",
            "fax_number": "208-736-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC VALLEY SURGERY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-8735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "M-5842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magic Valley Regional Medical Center
• Magic Valley Regional Medical Center
• Magic Valley Rehabilitation Services Inc
• Magic Valley Senior Living, Inc. (Woodstone Assisted Living)
• Magic Valley Sleep Institute LLC
• Magic Valley Urgent Care, PLLC
• Magic Valley Urology PLLC
• Magic Valley Vision PLLC
• Magic Valley Womens Health Clinic, PLLC
• Murali Maheswaran, DO

• Clinic/Center in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.