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DR. MARK ELLIS DPM NPI 1972897080


NPI Information

NPI: 1972897080
Provider Name: DR. MARK ELLIS, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
12592 S 150 E
DRAPER, UT
ZIP 84020
Phone: (713) 377-2167
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DR. Mark Ellis, DPM is a foot and ankle surgery podiatrist in Draper, UT with 13 years of experience. DR. Mark Ellis, DPM NPI is 1972897080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12592 S 150 E
DRAPER, UT
ZIP 84020-611
Phone: (713) 377-2167

The NPI 1972897080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 6/6/2011 and was last updated on 5/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP0504XPodiatristPublic Medicine10105797-0501UTAHNo
2213ER0200XPodiatristRadiology10105797-0501UTAHNo
3213ES0000XPodiatristSports Medicine10105797-0501UTAHNo
4213ES0103XPodiatristFoot & Ankle Surgery10105797-0501UTAHNo
5213ES0103XPodiatristFoot & Ankle Surgery0821ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.