Dr John P Ellis Clinic Podiatry LLC
NPI 1972777928ActiveOrganization· Podiatrist· Fairview Park, OH
Podiatrist in Fairview Park, Ohio, registered in NPPES in April 2008. The authorized official on file is John P. Ellis, DPM, President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1972777928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2008 |
| Last updated in NPPES | Jul 21, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 36002463E | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (OH); Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other Podiatrist providers in Fairview Park
- 1821362583
- 1538270715
- 1124223532
- 1053463117
- 1407054885
- 1043384795
- 1992930135
- 1437445640
- 1407996069