Provider Demographics
NPI:1538572599
Name:EADS, STARR ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:STARR
Middle Name:ELIZABETH
Last Name:EADS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:STARR
Other - Middle Name:ELIZABETH
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8415 N PIMA RD STE 280
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4488
Mailing Address - Country:US
Mailing Address - Phone:480-245-4425
Mailing Address - Fax:480-245-4426
Practice Address - Street 1:8415 N PIMA RD STE 280
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4488
Practice Address - Country:US
Practice Address - Phone:480-245-4425
Practice Address - Fax:480-245-4426
Is Sole Proprietor?:No
Enumeration Date:2014-06-07
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ58363208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ560644Medicaid