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

Last updated

May 2, 2016By the provider in NPPES

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, DPMNPI 1528355708

Title

Podiatrist

Phone

(480) 310-6015

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David T Ellsworth, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
  • NPI 1528355708
  Authorized official Same address or phone

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
• Elmo Sky LLC
• Christopher Elmore, MD

• 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.