John P Ellis is a Podiatrist in Fairview Park, Ohio. John P Ellis practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for John P Ellis is 1043384795. The last update date is 2015-01-23.
John P Ellis's current location address is 21992 Lorain Rd, Fairview Park, Ohio. You can contact this provider via phone number 4403337300 and fax number 4409951234. The mailing address for John P Ellis is 21992 Lorain Rd, Fairview Park, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P Ellis |
|---|---|
| Address | 21992 Lorain Rd, Fairview Park, Ohio |
| Phone Number | 4403337300 |
| Fax Number | 4409951234 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1043384795 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 21992 Lorain Rd |
|---|---|
| City | Fairview Park |
| State | Ohio (OH) |
| Post Code | 441263333 |
| Phone Number | 4403337300 |
| Fax Number | 4409951234 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 36002463E |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 691845 | OH | -- |
Post Comment/ Review Below
What is the John P Ellis's unique identification number?
The John P Ellis has been assigned the NPI (National Provider Identifier) Number 1043384795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where John P Ellis is geographically located?
The John P Ellis is physically situated at the following location: 21992 Lorain Rd, Fairview Park, OH, 441263333.
What is John P Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The John P Ellis's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
When was the John P Ellis's 1043384795 issued?
The John P Ellis's 1043384795 was issued on 2006-11-17.
As of what date were the John P Ellis's details last updated?
The information pertaining to the John P Ellis, including its address, specialty, and other details, was most recently updated on 2015-01-23.