MEDICARE: MISS ELIZABETH STARUSZKIEWICZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		IN
2	363AM0700X	Medical Physician Assistant	10004940A	IN

General Provider Information

NPI Number	:	1023722493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ELIZABETH STARUSZKIEWICZ

Provider Business Mailing Address
First Line	:	15019 CORRAL CT
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-1084
Country	:	US
Telephone Number	:	317-750-6540
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 N FORD RD
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1233
Country	:	US
Telephone Number	:	317-973-3333
Fax Number	:	317-973-3330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	12/10/2025

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