Individual
RYAN SCOTT ELLSWORTH
Active
Individual
RYAN SCOTT ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2109
NV
213E00000X
Podiatrist
E5797
CA
213E00000X
Podiatrist
PO4406
FL
213E00000X
Podiatrist
POD001473
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
8400193-0501
UT
213ER0200X
Radiology Podiatrist
8400193-0501
UT
213ES0000X
Sports Medicine Podiatrist
8400193-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
8400193-0501
UT
213ES0131X
Foot Surgery Podiatrist
Primary
8400193-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003111
—
UT
01
—
2109
NV DPM LICENSE
NV
01
—
7672880001
DME
UT
01
—
8400193-0501
UT DPM LICENSE
UT
01
—
E5797
CA DPM LICENSE
CA
01
—
PO4406
FL DPM LICENSE
FL
01
—
POD001473
GA DPM LICENSE
GA
Enumeration date
07/28/2010
Last updated
06/17/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up