ELLSWORTH FOOT AND ANKLE CLINIC
NPI 1922777028
Podiatrist in St George, UT

Active since September 10, 2021
2019 E RIVERSIDE DR STE A101, ST GEORGE, UT 84790(801) 253-6886(801) 253-6888 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 30, 2021, Sep 10, 2021 (3 updates tracked since 2021).

About Ellsworth Foot And Ankle Clinic NPPES

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

ELLSWORTH FOOT AND ANKLE CLINIC (NPI 1922777028) is a healthcare organization registered as a podiatrist in St George, Utah and active in the NPI registry since September 2021. The organization maintains 2 additional practice locations and lists Ryan Ellsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1922777028
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameELLSWORTH FOOT AND ANKLE CLINIC
Location Address2019 E RIVERSIDE DR STE A101St George, UT 84790-8147
Mailing Address9980 S 300 W Ste 310Sandy, UT 84070-3654 · (801) 253-6886 · Fax (385) 900-5928
Fax(801) 253-6888
Organization SubpartNo
Authorized OfficialRyan EllsworthOwner · (801) 253-6886
Enumeration DateSeptember 10, 2021
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
NPI 1922777028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
2019 E RIVERSIDE DR STE A101, St George, UT 84790

Secondary Practice Locations 2

Location 12019 E Riverside Dr Ste A101Saint George, UT 84790-8147
Location 22019 E Riverside Dr Ste A101St George, UT 84790-8147

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Ellsworth Foot And Ankle Clinic carries, from the Medicare DMEPOS supplier directory.

Ellsworth Foot And Ankle Clinic

DMEPOS supplier · St George, UT

Accepts Medicare assignment

Ellsworth Foot And Ankle Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34358894
Medicare Participant SinceJanuary 23, 2021
Supplier Location2019 E Riverside Dr Ste A101St George, UT 84790
Provider TypeNurse Practitioner · Physician – Podiatry

Medicare Product Categories

Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Negative Pressure Wound Therapy Pumps/Supplies
Wound care sets, Pumps, Canisters
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
2019 E RIVERSIDE DR STE A101
ST GEORGE, UT 84790
Podiatrist (Foot & Ankle Surgery)
2019 E RIVERSIDE DR STE A101
ST GEORGE, UT 84790
Psychiatry & Neurology (Neurology)
2019 E RIVERSIDE DR STE A101
ST GEORGE, UT 84790
Podiatrist (Foot & Ankle Surgery)
2019 E RIVERSIDE DR STE A101
ST GEORGE, UT 84790

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 Ellsworth Foot And Ankle Clinic's NPI number?

The NPI number for Ellsworth Foot And Ankle Clinic is 1922777028. It was assigned to this organization in the NPPES registry on September 10, 2021.

Where is Ellsworth Foot And Ankle Clinic located?

Ellsworth Foot And Ankle Clinic is located at 2019 E Riverside Dr Ste A101, St George, UT 84790. The listed phone number is (801) 253-6886.

What is Ellsworth Foot And Ankle Clinic's specialty?

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

Does Ellsworth Foot And Ankle Clinic accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ellsworth Foot And Ankle Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Ellsworth Foot And Ankle Clinic was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.