NPI 1073167821

Joshua Todd Ellsworth

Practitioner Physician Assistant Enid, OK

Practice location

Address: 231 S 30th St, Enid, OK 73701-6455
Phone: (580) 596-2800
Fax: (580) 596-2805
Mailing address: 9208 NW 72nd St, Hesston, KS 67062-6201

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4919 (OK)

Other Physician Assistant providers in Oklahoma →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Oklahoma →

Registry record

NPI: 1073167821
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2019
Record last updated: 25 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.