Amble Medical
NPI 1134865595ActiveOrganization· Podiatrist· Sandy, UT
Podiatrist in Sandy, Utah, registered in NPPES in May 2022. The authorized official on file is Ryan Scott Ellsworth, DPM, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1134865595 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2022 |
| Last updated in NPPES | Sep 27, 2024 |
| Certified by provider | Sep 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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