MIRANDA M. VAN DAM CSFA – NPI #1902565682
Specialist/Technologist, Other

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.

MIRANDA VAN DAM is a technologist located in MERIDIAN, ID. NPPES has assigned the NPI number 1902565682 to MIRANDA VAN DAM on December 10, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZC0007X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Surgical Assistant

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIRANDA VAN DAM below.

NPI Profile for
MIRANDA M. VAN DAM

NPI Number
1902565682
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MIRANDA M. VAN DAM
Credentials
CSFA
Primary location
500 S. EAGLE RD.
MERIDIAN, ID 83642
Phone: (208) 706-8101 Fax:
Mailing address
3595 W SPRUCE CREEK DR
MERIDIAN, ID 83642-4217
Phone: (208) 602-7289 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MIRANDA VAN DAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTINGID205983
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZC0007X
- Specialist/Technologist, Other / Surgical Assistant (Primary)
ID 205983

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
520 S EAGLE RD,
MERIDIAN, ID 77025-1669