Mark R Elkins, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

53469480401 Issued in UT

Practice address

4019 W 12600 South
Suite 120
Riverton, UT 84096-7302

Phone

(801) 253-6886

Fax

(801) 253-6888

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark R Elkins DPM PC

  • Podiatrist
  • Riverton, UT
  • NPI 1386645398
  Authorized official Same address or phone

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124027453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 W 12600 SOUTH",
            "address_2": "SUITE 120",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967302",
            "telephone_number": "801-253-6886",
            "fax_number": "801-253-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 W 12600 SOUTH",
            "address_2": "SUITE 120",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967302",
            "telephone_number": "801-253-6886",
            "fax_number": "801-253-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "53469480401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Philip Edwards, MD
• Tammy Edwards
• Dan Egbert, D.C.
• Jonathan Samuel Egbert, PT
• Tracy Elkington, SLP
• Kayla Ellingson, CMHC
• Ellsworth Foot and Ankle Clinic (Summit Foot and Ankle)
• Ellsworth Foot and Ankle Clinic (amble orthopedics)
• Ellsworth Foot and Ankle Clinic
• Nathan Elmore

• Podiatrist in Riverton, UT
• Providers in Riverton, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.