Ellsworth Foot and Ankle PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0786 Issued in AZ

Legal business name

ELLSWORTH FOOT AND ANKLE PLLC

Practice address

4121 E Valley Auto Dr
#110
Mesa, AZ 85206-4631

Phone

(480) 892-1540

Fax

(480) 892-2243

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

David T Ellsworth, DPM

Title

Podiatrist

Phone

(480) 310-6015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1114389459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 E VALLEY AUTO DR",
            "address_2": "#110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064631",
            "telephone_number": "480-892-1540",
            "fax_number": "480-892-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 E VALLEY AUTO DR",
            "address_2": "#110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064631",
            "telephone_number": "480-892-1540",
            "fax_number": "480-892-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "480-310-6015",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Palmer Elliott, M.D.
• Michael Dotson Elliott, D.M.D.
• Sandra Marie Elliott, PT, MPT
• Anna Ellis, MA, CCC-A
• Devin Alexander Ellis, LPC
• Ellsworth Physician Services
• Allison Ellsworth, LAMFT
• David T Ellsworth, D.P.M
• Christopher Elmore, MD
• Diane L. Elmore, M.D.

• Foot & Ankle Surgery Podiatrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.