Active NPI
Katherine Demeritt, P.A.
- Medical Physician Assistant
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10000552
- Practice address
- 3080 College St
Beaumont, TX 77701-4606 - Phone
- (409) 212-5000
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10000552 | IN | Primary |
Addresses
Primary practice location
3080 College St
Beaumont, TX 77701-4606
Mailing address
109 Dolton Dr
Lumberton, TX 77657-8160
Phone (409) 227-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10850 Louetta Rd
Suite 1500
Houston, TX 77070-3537
Phone (281) 666-9981
8850 Spencer Hwy
La Porte, TX 77571-3736
Phone (281) 946-9980
9740 Barker Cypress Rd
Suite 108
Cypress, TX 77433-1974
Phone (281) 990-6890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000552 | IN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Doctors Express, PA PSC | Current | Accepting new patients | |
| Emergency Medicine of Indiana LLC | Past | Accepting new patients | |
| Redimed Dekalb LLC | Past | Accepting new patients | |
| St. Joseph Health System, LLC | Past | Accepting new patients | |
| Emergency Medicine of Indiana | Past | Accepting new patients | |
| Doctors Express of the Temple Area, PA | Past | Accepting new patients |
Locations
2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1841525235
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Southlake, TX
- NPI 1942519335
-
- Urgent Care Clinic/Center
- Temple, TX
- NPI 1568696227
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1952356883
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1881969418
-
- General Practice Physician
- Auburn, IN
- NPI 1669417457
-
dba Lutheran Downtown Hospital
- Medicare Defined Swing Bed Hospital Unit
- Fort Wayne, IN
- NPI 1538812946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1093852048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 DOLTON DR",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776578160",
"telephone_number": "409-227-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014606",
"telephone_number": "409-212-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMERITT",
"first_name": "KATHERINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10000552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.