Dr John P Ellis Clinic Podiatry Llc | |
21992 Lorain Rd, Fairview Park, OH 44126-3333 | |
(440) 333-7300 | |
(440) 235-8440 |
Full Name | Dr John P Ellis Clinic Podiatry Llc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 21992 Lorain Rd, Fairview Park, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972777928 | NPI | - | NPPES |
0691845 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 36002463E (Ohio) | Primary |
Provider Name | John Ellis |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043384795 PECOS PAC ID: 9931299716 Enrollment ID: I20071217000600 |
Mailing Address | Practice Location Address |
---|---|
Dr John P Ellis Clinic Podiatry Llc 4758 Ridge Rd, Ste 161, Cleveland, OH 44144-3327 Ph: (440) 235-8484 | Dr John P Ellis Clinic Podiatry Llc 21992 Lorain Rd, Fairview Park, OH 44126-3333 Ph: (440) 333-7300 |
John P Ellis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 21992 Lorain Rd, Fairview Park, OH 44126 Phone: 440-333-7300 Fax: 440-995-1234 | |
Dr. Raymond Randall Alferink, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 4492 W 220th St, Fairview Park, OH 44126 Phone: 440-734-2228 Fax: 440-734-1793 | |
Fairview Podiatry Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21475 Lorain Rd, Fairview Park, OH 44126 Phone: 440-356-1118 | |
Dr Bodman Podiatry Associates Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 21245 Lorain Road, Suite 115, Fairview Park, OH 44126 Phone: 440-356-1989 Fax: 440-356-5944 | |
Dr. Myron A Bodman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126 Phone: 440-356-1989 Fax: 440-356-5944 | |
Dr. Michael James Bodman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126 Phone: 440-356-1989 Fax: 440-356-5944 | |
John Mario Cuffari, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21992 Lorain Rd, Fairview Park, OH 44126 Phone: 440-333-7300 Fax: 440-333-7308 |