NPI 1972897080 · live from the CMS NPI Registry
Mark Ellis, DPM
Podiatrist, Foot & Ankle Surgery in Globe, AZ. National Provider Identifier 1972897080, active.
NPI record
| NPI | 1972897080 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 5880 S Hospital Dr, Globe, AZ 85501 |
| Practice phone | 928-425-3246 |
| Mailing address | 5994 S Hospital Dr, Globe, AZ 85501 |
| Enumerated | June 6, 2011 |
| Last updated | June 10, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Public Medicine | 213EP0504X | 10105797-0501 (UT) |
| Podiatrist, Radiology | 213ER0200X | 10105797-0501 (UT) |
| Podiatrist, Sports Medicine | 213ES0000X | 10105797-0501 (UT) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 10105797-0501 (UT) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0821 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.