SAMANTHA DEMOSS NPI 1629605480

NPI Information

NPI: 1629605480
Provider Name: SAMANTHA DEMOSS
Classification: Surgery - 208600000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1215 HADLEY RD STE 201
MOORESVILLE, IN
ZIP 46158
Phone: (317) 834-9618

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NPI Details

Samantha Demoss is a surgery in Mooresville, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Samantha Demoss NPI is 1629605480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1215 HADLEY RD STE 201
MOORESVILLE, IN
ZIP 46158-907
Phone: (317) 834-9618
Fax: (317) 831-9467

The NPI 1629605480 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2020 and was last updated on 6/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208600000X	Surgery	01095693B	INDIANA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	208600000X	Surgery	125.075907	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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