Active NPI
Tasha Demoss, CSFA
- Surgical Assistant
- Munster, IN
National Provider Identifier
1225506454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 9445 Calumet Ave
Munster, IN 46321-2811 - Phone
- (219) 836-1060
- Fax
- (219) 836-1014
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
9445 Calumet Ave
Munster, IN 46321-2811
Mailing address
9445 Calumet Ave
Munster, IN 46321-2811
Phone (219) 836-1060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MUNSTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Point Orthopedics LLC | Multi-Specialty | Current | Accepting new patients |
| Community Care Network Inc | Multi-Specialty | Past | Accepting new patients |
Locations
9445 Calumet Ave
Munster, IN 46321
Phone (219) 836-1060
801 MacArthur Blvd
Ste 304
Munster, IN 46321
Phone (219) 836-1060
Organizations & group practices 2
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.
-
- Orthopaedic Surgery of the Spine Physician
- Munster, IN
- NPI 1801378088
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1225506454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9445 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212811",
"telephone_number": "219-836-1060",
"fax_number": "219-836-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9445 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212811",
"telephone_number": "219-836-1060",
"fax_number": "219-836-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOSS",
"first_name": "TASHA",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MUNSTER",
"affiliation": "N",
"address_1": "9445 Calumet Ave",
"city": "Munster",
"state": "IN",
"country_code": "US",
"postal_code": "463212811",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.