Individual provider · Type 1 NPI
Ryan Scott Ellsworth, DPM
Foot Surgery Podiatrist · Atlanta, GA
NPI number
1104130574
Active
Practice location
505 Fairburn Rd SW Ste 100
Atlanta, GA 30331-2012
Fax (801) 253-6888
Mailing address
9980 S 300 W Ste 300
Sandy, UT 84070-3654
Other practice locations
- 4019 W 12600 S, Suite 120, Riverton, UT 84096 · (801) 253-6886
- 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065-7299 · (801) 253-6886
- 3355 N University Ave Ste 175, Provo, UT 84604-6620 · (801) 253-6886
- 227 N Westwood Blvd, Price, UT 84501-5500 · (801) 253-6886
- 12780 Race Track Rd Ste 417, Tampa, FL 33626-1395 · (813) 535-7707
- 3130 S Highland Dr Ste B4, Salt Lake City, UT 84106-3095 · (801) 253-6886
- 95 White Sage Ave Ste C, Delta, UT 84624-5555 · (801) 253-6886
- 770 S Highway 99, Fillmore, UT 84631-5033 · (801) 253-6886
- 2019 E Riverside Dr Ste A101, St. George, UT 84790-8147 · (801) 253-6886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 2109 (NV) |
| Podiatrist | 213E00000X | E5797 (CA) |
| Podiatrist | 213E00000X | PO4406 (FL) |
| Podiatrist | 213E00000X | POD001473 (GA) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 8400193-0501 (UT) |
| Radiology Podiatrist | 213ER0200X | 8400193-0501 (UT) |
| Sports Medicine Podiatrist | 213ES0000X | 8400193-0501 (UT) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 8400193-0501 (UT) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 8400193-0501 (UT) |
Foot Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot surgery podiatrist providers in Atlanta
About NPI 1104130574
Ryan Scott Ellsworth, DPM's National Provider Identifier is 1104130574, issued on Jul 28, 2010. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Atlanta, GA. The record was last updated on Jun 17, 2024.