Ryan Scott Ellsworth

DPM | Podiatrist | 14+ years Exp


  
505 Fairburn Rd Sw Ste 100, Atlanta
Georgia, 30331-2012

 404-618-6077     801-253-6888Maps & Directions
Ryan Scott Ellsworth is a Atlanta, Georgia based male podiatrist with 14 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 2010. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Ryan Scott Ellsworth for Podiatric Foot Surgery is 8400193-0501 in Utah.
Ryan Scott Ellsworth is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Ryan Scott Ellsworth 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
Credentials: DPM
Experience: 14+ years
Medical School Attended:Kent State University College Of Podiatric Medicine
Graduation Year:2010
Gender:Male
Accepts Medicare Assignment:May Accept
Practice Address:505 Fairburn Rd Sw Ste 100, Atlanta,
Georgia, 30331-2012
Phone:404-618-6077
Fax:801-253-6888
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: 3678719135
Enrollment ID: I20130429000536
NPI Number: 1104130574
NPI Enumeration Date: 28 Jul, 2010
NPI Last Update On: 17 Jun, 2024

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ryan Scott Ellsworth are as mentioned below.
License NumberSpecializationStateStatus
8400193-0501Podiatric Foot Surgery UtahPrimary
2109Podiatry NevadaSecondary
E5797Podiatry CaliforniaSecondary
PO4406Podiatry FloridaSecondary
POD001473Podiatry GeorgiaSecondary
8400193-0501Primary Podiatric Medicine UtahSecondary
8400193-0501Podiatric Radiology UtahSecondary
8400193-0501Podiatric Sports Medicine UtahSecondary
8400193-0501Podiatric Foot & Ankle Surgery UtahSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ryan Scott Ellsworth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1003111MedicaidUtah
8400193-0501OtherUtahUT DPM LICENSE
7672880001OtherUtahDME
E5797OtherCaliforniaCA DPM LICENSE
POD001473OtherGeorgiaGA DPM LICENSE
PO4406OtherFloridaFL DPM LICENSE
2109OtherNevadaNV DPM LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 9980 S 300 W Ste 300,
Sandy, Utah
Zip: 84070-3654
Phone Number: 801-273-0001
Fax Number: 801-253-6888
Patients can reach Ryan Scott Ellsworth at 505 Fairburn Rd Sw Ste 100, Atlanta, Georgia or can call to book an appointment on 404-618-6077. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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