Ellsworth Foot and Ankle Clinic
NPI 1932878030ActiveOrganization· Podiatrist· Provo, UT
Podiatrist in Provo, Utah, registered in NPPES in September 2021, part of Ellsworth Foot and Ankle Clinic. The authorized official on file is Ryan Ellsworth, DPM, Owner.
Overview
| NPI | 1932878030 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ellsworth Foot and Ankle Clinic |
| NPI issued | Sep 10, 2021 |
| Last updated in NPPES | Feb 5, 2025 |
| Certified by provider | Feb 5, 2025 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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