Edward Eades, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

19656 Issued in AZ

Practice address

2940 N Swan Rd
130
Tucson, AZ 85712-5601

Phone

(520) 323-6994

Fax

(520) 733-0787

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carl F Diener MD PC

  • Medical Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1114393626
  NPD

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1245295864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 N SWAN RD",
            "address_2": "#130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-323-6994",
            "fax_number": "520-733-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N SWAN RD",
            "address_2": "130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125601",
            "telephone_number": "520-323-6994",
            "fax_number": "520-733-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADES",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "19656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "MD19656",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Dzioba, MD
• E. Paul Delorme DMD, PLC
• E&G Optical LLC
• E&G Optical LLC
• Eades Plastic Surgery PLLC
• Eagle Home
• Eagle Transportation Services, LLC.
• Gunilla Eagleton II, RN
• Justin Eales, M.D.
• Ashley Lynn Ealey, MD

• Plastic Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.