Ellsworth Foot and Ankle Clinic

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ELLSWORTH FOOT AND ANKLE CLINIC

Doing business as

Summit Foot and Ankle

Practice address

227 N Westwood Blvd
Price, UT 84501-5500

Phone

(801) 253-6886

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ELLSWORTH FOOT AND ANKLEAs reported in NPPES

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

Authorized official

Name

Ryan Scott Ellsworth, DPM

Title

Ceo

Phone

(801) 273-0100

Specialties & licenses 1

Addresses

Other names 1

• SUMMIT FOOT AND ANKLE Doing business as

Part of

Ellsworth Foot and Ankle Clinic

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1356168017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 S 300 W STE 300",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703654",
            "telephone_number": "801-253-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N WESTWOOD BLVD",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845015500",
            "telephone_number": "801-253-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH FOOT AND ANKLE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLSWORTH FOOT AND ANKLE",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-273-0100",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMIT FOOT AND ANKLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.