Mark Ellis is a Foot Surgery in Lafayette, Louisiana. Mark Ellis practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Mark Ellis is 1215975891. The last update date is 2008-09-05.
Mark Ellis's current location address is 501 W Saint Mary Blvd, Lafayette, Louisiana. You can contact this provider via phone number 3375931278 and fax number 3375931280. The mailing address for Mark Ellis is 501 W Saint Mary Blvd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Ellis |
|---|---|
| Address | 501 W Saint Mary Blvd, Lafayette, Louisiana |
| Phone Number | 3375931278 |
| Fax Number | 3375931280 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1215975891 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2008-09-05 |
Provider Mailing Address Detail
| Address | 501 W Saint Mary Blvd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705064600 |
| Phone Number | 3375931278 |
| Fax Number | 3375931280 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | 1670511 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1670511 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark Ellis by the Centers for Medicare & Medicaid Services?
The Mark Ellis has been assigned the NPI (National Provider Identifier) 1215975891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Mark Ellis is physically located?
The Mark Ellis is situated at the following address: 501 W Saint Mary Blvd, Lafayette, LA 705064600.
What is the area of specialization for Mark Ellis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Ellis is Foot Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0131X.
On what date did the Mark Ellis receive its 1215975891 assignment from the Centers for Medicare & Medicaid Services?
The Mark Ellis was assigned its 1215975891 by the Centers for Medicare & Medicaid Services on 2006-06-03.
As of what date were the details related to Mark Ellis most recently updated or revised?
The information pertaining to Mark Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-05.