NPIMap

Organization Active NPI

Eades Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1760787626
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
EADES PLASTIC SURGERY PLLC
Practice address
2940 N Swan Rd
130
Tucson, AZ 85712-5637
Phone
(520) 323-6994
Fax
(520) 733-0787
NPI assigned
Jan 24, 2011
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Mr. Edward Eades, MDNPI 1245295864
Title
Owner
Phone
(520) 323-6994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 19656 AZ
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

2940 N Swan Rd
130
Tucson, AZ 85712-5637

Mailing address

2940 N Swan Rd Ste 130
Tucson, AZ 85712-6016
Phone (520) 323-6994

Other identifiers 1

IdentifierTypeStateIssuer
MD19656OtherMEDICARE ID

National Provider Directory

National Provider Directory

Locations

2940 N Swan Rd
Ste 130
Tucson, AZ 85712
Phone (520) 290-5555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1760787626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 N SWAN RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126016",
            "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": "857125637",
            "telephone_number": "520-323-6994",
            "fax_number": "520-733-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EADES PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "EADES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-323-6994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "19656",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "MD19656",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.