Ellsworth Foot and Ankle Clinic
NPI 1760151864ActiveOrganization· Podiatrist· Salt Lake City, UT
Podiatrist in Salt Lake City, Utah, registered in NPPES in September 2021, part of Ellsworth Foot and Ankle Clinic. The authorized official on file is Ryan Ellsworth, DPM, Ceo. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1760151864 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ellsworth Foot and Ankle Clinic |
| NPI issued | Sep 10, 2021 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
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 DME Supplier - Physician - Podiatry (UT) |
|---|
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