Whalio Doctors

NPI 1104130574

Ryan Scott Ellsworth, DPM

Practitioner Foot Surgery Podiatrist Atlanta, GA

Practice location

Address
505 Fairburn Rd SW STE 100, Atlanta, GA 30331-2012
Phone
(404) 618-6077
Fax
(801) 253-6888
Mailing address
9980 S 300 W STE 300, Sandy, UT 84070-3654

Registered specialties (9)

Foot Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 8400193-0501 (UT)
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 2109 (NV)
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence E5797 (CA)
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence PO4406 (FL)
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence POD001473 (GA)
Primary Podiatric Medicine Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 8400193-0501 (UT)
Radiology Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ER0200X Licence 8400193-0501 (UT)
Sports Medicine Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0000X Licence 8400193-0501 (UT)
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 8400193-0501 (UT)

Registry record

NPI
1104130574
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Jul 2010
Record last updated
17 Jun 2024

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.