Individual provider Active NPI

Emily Catherine Tasch, P.A. - C

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1073848669
Registry record updated Oct 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085003638 Issued in IL
Practice address
1331 W 75TH St Ste 303
Naperville, IL 60540-9311
Phone
(630) 652-0606
Fax
(630) 652-9900
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085003638 IL Primary

Addresses

Primary practice location

1331 W 75TH St Ste 303
Naperville, IL 60540-9311

Mailing address

1331 W 75TH St Ste 303
Naperville, IL 60540-9311
Phone (630) 652-0606

Other names 1

  • Ms. Emily Catherine Israel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000572 IL Practitioner - Physician Assistant 1951553650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diane L Ozog, MDSC CurrentSince Nov 30, 2017 Accepting new patients

Locations

1331 W 75th St
Ste 303
Naperville, IL 60540
Phone (630) 652-0606

1288 Rickert Dr
Ste 100
Naperville, IL 60540
Phone (630) 652-0606

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538784000000",
    "number": "1073848669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 303",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-652-0606",
            "fax_number": "630-652-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 303",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-652-0606",
            "fax_number": "630-652-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCH",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "P.A. - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2018-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ISRAEL",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.