NPI 1932878030 · live from the CMS NPI Registry
Ellsworth Foot And Ankle Clinic
Podiatrist in Provo, UT. National Provider Identifier 1932878030, active.
NPI record
| NPI | 1932878030 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 3355 N University Ave Ste 175, Provo, UT 84604 |
| Practice phone | 801-253-6886 |
| Mailing address | 9980 S 300 W Ste 300, Sandy, UT 84070 |
| Enumerated | September 10, 2021 |
| Last updated | February 5, 2025 |
| Authorized official | Ryan Ellsworth, Owner |
| Other names | Summit Foot And Ankle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.