MARK OWEN ELLIS DPM
NPI 1437240124
Podiatrist in Astoria, OR

Active since September 27, 2006
582 22ND STREET, ASTORIA, OR 97103(503) 325-0045(503) 325-3242 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Owen Ellis Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK OWEN ELLIS DPM (NPI 1437240124) is an individual podiatrist in Astoria, Oregon, licensed in Oregon (DP00095) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1437240124
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMARK OWEN ELLISCredential: DPM
Location Address582 22ND STREETAstoria, OR 97103
Mailing Address582 22nd StreetAstoria, OR 97103 · (503) 325-0045 · Fax (503) 325-3242
Fax(503) 325-3242
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1437240124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in OR · DP00095
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
582 22ND STREET, Astoria, OR 97103

Other Identifiers 3

Medicare ID-Type Unspecified0000SGBCP
Medicaid056416OR
Medicare UPINT88040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Ellis's NPI number?

The NPI number for Mark Ellis is 1437240124. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Mark Ellis located?

Mark Ellis practices at 582 22nd Street, Astoria, OR 97103. The listed phone number is (503) 325-0045.

What is Mark Ellis's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Mark Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.