Dr. Mark Ellis is a Draper, Utah based male podiatrist with 13 years of experience in Podiatric Sports Medicine. He completed his graduation in 2011. He is also affiliated with hospitals like Cobre Valley Regional Medical Center and San Carlos Apache Healthcare Corp. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mark Ellis for Podiatric Foot & Ankle Surgery is 0821 in Arizona. Dr. Mark Ellis deals with prevention, diagnosis and treatment of lower extremity disorders in sports person. Main mission is to provide such knowledge (through professional education, public awareness) to the athletes and the public (who play sports) to enhance their enjoyment and safe participation in sports and fitness activities.
Complete Profile:
Dr. Mark Ellis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Sports Medicine
Credentials:
DPM
Experience:
13+ years
Medical School Attended:
Other
Graduation Year:
2011
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
12592 S 150 E, Draper, Utah, 84020-8611
Phone:
713-377-2167
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294957320
Enrollment ID:
I20171116000146
NPI Number:
1972897080
NPI Enumeration Date:
06 Jun, 2011
NPI Last Update On:
17 May, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Ellis are as mentioned below.
License Number
Specialization
State
Status
0821
Podiatric Foot & Ankle Surgery
Arizona
Primary
10105797-0501
Podiatric Sports Medicine
Utah
Secondary
10105797-0501
Podiatric Radiology
Utah
Secondary
10105797-0501
Podiatric medicine
Utah
Secondary
10105797-0501
Podiatric Foot & Ankle Surgery
Utah
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Cobre Valley Regional Medical Center (031314)
Globe, AZ
Critical Access Hospital
San Carlos Apache Healthcare Corp (030077)
Peridot, AZ
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Mark Ellis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
San Carlos Apache Healthcare Corporation (0648580597)
108
Cobre Valley Regional Medical Center (0648181693)
23
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5994 S Hospital Dr, Globe, Arizona
Zip:
85501-9462
Phone Number:
--
Fax Number:
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Patients can reach Dr. Mark Ellis at 12592 S 150 E, Draper, Utah or can call to book an appointment on 713-377-2167. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.