Walter Nicholas Ellis is a St Cloud, Minnesota based male podiatrist with 35 years of experience in Podiatry. He completed his graduation from William M. Scholl College Of Podiatric Medicine in 1989. He is also affiliated with hospitals like Centracare Health Paynesville Hospital and Centracare Health System - Melrose Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Walter Nicholas Ellis for Podiatry is 451 in Minnesota. Walter Nicholas Ellis 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:
Walter Nicholas 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
Credentials:
DPM
Experience:
35+ years
Medical School Attended:
William M. Scholl College Of Podiatric Medicine
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
106 Doctors Park, St Cloud, Minnesota, 56303-1207
Phone:
320-251-5444
Fax:
320-656-9590
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:
9537140272
Enrollment ID:
I20120131000236
NPI Number:
1588625958
NPI Enumeration Date:
28 Mar, 2006
NPI Last Update On:
08 Jan, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walter Nicholas Ellis are as mentioned below.
License Number
Specialization
State
Status
451
Podiatry
Minnesota
Primary
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
Centracare Health Paynesville Hospital (241349)
Paynesville, MN
Critical Access Hospital
Centracare Health System - Melrose Hospital (241330)
Melrose, MN
Critical Access 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 Walter Nicholas Ellis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St Cloud Foot And Ankle Center Pa (2062589740)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Walter Nicholas Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
684025600
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
106 Doctors Park, St Cloud, Minnesota
Zip:
56303-1207
Phone Number:
320-251-5444
Fax Number:
320-656-9590
Patients can reach Walter Nicholas Ellis at 106 Doctors Park, St Cloud, Minnesota or can call to book an appointment on 320-251-5444. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.