Sandra Kasumovic, PA-C

Individual Active
NPI 1780009506
Medical Physician Assistant Caldwell, ID

Sandra Kasumovic, PA-C holds NPI 1780009506, with a primary taxonomy of medical physician assistant and a practice location in Caldwell, ID. The number was issued on March 3, 2014 and the NPPES record was last updated on September 1, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA1136 (ID)
Mental Health Counselor 101YM0800X Not listed
Physician Assistant 363A00000X PA1136 (ID)

Practice location

2716 Syringa Ln
Caldwell, ID 83605-3052
Phone: (208) 477-1223

Local context

Active NPPES records list 156 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 24 of them within 10 miles.

The same primary taxonomy is listed by 400 in Idaho and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Sandra Kasumovic
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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