Samuel James Jurca, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OC-0439 Issued in ID

Practice address

372 S Eagle Rd Ste 168
Eagle, ID 83616-5908

Phone

(830) 282-8224

Fax

(830) 215-4711

NPI assigned

May 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, TX, FL, AZ, VA, NV, ID, LA, OR, CA10 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 10

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nexus Wound Consultants LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1740034297
  Medicare reassignment NPD Authorized official
• Nexus Consultants PLLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1245970938

  AZ, TX

  Medicare reassignment NPD Authorized official
• Nexus Wound Consultants -Louisiana LLC

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1497591135
  Medicare reassignment NPD Authorized official
• Nexus Wound Consultants LLC

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1104698588
  Medicare reassignment NPD Authorized official
• Nexus Wound Consultants LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1407628316
  Medicare reassignment NPD Authorized official
• Nexus Wound Consultants LLC

  • Family Medicine Physician
  • Plantation, FL
  • NPI 1629840004
  Medicare reassignment NPD Authorized official
• Nexus Wound Consultants LLC

  • Family Medicine Physician
  • Salem, OR
  • NPI 1831927052
  Medicare reassignment NPD Authorized official
• Nexus Wound Consultants PC

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1225875313
  Medicare reassignment NPD Authorized official
• Nexus Health Partners PLLC

  • Family Medicine Physician
  • Kerrville, TX
  • NPI 1356055701

  FL

  Medicare reassignment Authorized official
• Body and Mind Health Partners

  • Family Medicine Physician
  • Carson City, NV
  • NPI 1730961160
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1962069203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 S EAGLE RD STE 168",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165908",
            "telephone_number": "830-282-8224",
            "fax_number": "830-215-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 S EAGLE RD STE 168",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165908",
            "telephone_number": "830-282-8224",
            "fax_number": "830-215-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURCA",
        "first_name": "SAMUEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "OC-0439",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T3974",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61105083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Johnston, PHARMD
• Trisha Jones, PT
• Jennifer Jordan, PSYD
• Gavin Christopher Jorns, D.C.
• Ryan W Judd, DMD
• Bruce Kahl, ATHLETIC TRAINER
• Dawn Marie Kangas, LPC
• Kara Maria Katzenmeyer, OTR/L
• Chandler Kaye Kauffman, OD
• Michael A Kaylor, M.D.

• Family Medicine Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.