Individual provider · Type 1 NPI

Mark Ellis, DPM

Foot & Ankle Surgery Podiatrist · Globe, AZ

NPI number 1972897080 Active

Practice location

5880 S Hospital Dr
Globe, AZ 85501-9447

Mailing address

5994 S Hospital Dr
Globe, AZ 85501-9462

Other practice locations

  • 12592 S 150 E, Draper, UT 84020-8611 · (713) 377-2167

Specialties and licenses

TaxonomyCodeLicense
Public Medicine Podiatrist 213EP0504X10105797-0501 (UT)
Radiology Podiatrist 213ER0200X10105797-0501 (UT)
Sports Medicine Podiatrist 213ES0000X10105797-0501 (UT)
Foot & Ankle Surgery Podiatrist 213ES0103X10105797-0501 (UT)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0821 (AZ)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1972897080

Mark Ellis, DPM's National Provider Identifier is 1972897080, issued on Jun 6, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Globe, AZ. The record was last updated on Jun 10, 2025.