Eads Medical Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0007549 Issued in FL

Legal business name

EADS MEDICAL PRACTICE

Practice address

800 Sterthaus Ave Ste a
Ormond Beach, FL 32174-5132

Phone

(386) 673-5411

Fax

(386) 673-2285

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Anne Eads, D.O.NPI 1548294481

Title

Owner

Phone

(385) 673-5411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Anne Eads, D.O.

  • Family Medicine Physician
  • Ormond Beach, FL
  • NPI 1548294481
  Medicare reassignment NPD Authorized official
• Ramin D Bonnet, DO

  • Adult Medicine Physician
  • Ormond Beach, FL
  • NPI 1730258146
  NPD (past)
• Edwidge L Raoul, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Daytona Beach Shores, FL
  • NPI 1417089160
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1285668137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 STERTHAUS AVE STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745132",
            "telephone_number": "386-673-5411",
            "fax_number": "386-673-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STERTHAUS AVE STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745132",
            "telephone_number": "386-673-5411",
            "fax_number": "386-673-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EADS MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-673-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Wolf Dunlop, NP-C
• Walter James Durkin, MD
• Dva Healthcare Renal Care Inc
• Olivia Michelle Dvorak, FNP
• E-Adept Global, Inc
• Elizabeth Anne Eads, D.O.
• East Coast Nephrology Associates LLC
• East Coast Pathology of Florida, PA
• East Coast Podiatry Inc
• Eastern Shores Orthopedic Brace Inc

• Family Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.