# ELLSWORTH FOOT AND ANKLE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114389459
- **Authorized official:** DAVID T ELLSWORTH DPM (PODIATRIST)
- **Authorized official phone:** (480) 310-6015

## Contact information

- **Practice address:** 4121 E VALLEY AUTO DR, \#110, MESA, AZ 85206-4631
- **Practice address phone:** (480) 892-1540
- **Practice address fax:** (480) 892-2243
- **Mailing address:** 4121 E VALLEY AUTO DR, \#110, MESA, AZ 85206-4631
- **Mailing address phone:** (480) 892-1540
- **Mailing address fax:** (480) 892-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0786 | AZ | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 05/02/2016