Ellsworth Foot And Ankle Clinic | |
12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065 | |
(801) 253-6886 | |
(801) 253-6888 |
Full Name | Ellsworth Foot And Ankle Clinic |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 12523 S Creek Meadow Rd Ste 105, Riverton, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942549795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 8400193-0501 (Utah) | Primary |
Provider Name | David H Jaramillo |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154437655 PECOS PAC ID: 1153347190 Enrollment ID: I20051019000889 |
Provider Name | Ryan Peterson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245486307 PECOS PAC ID: 2365610326 Enrollment ID: I20110718000399 |
Provider Name | Traske M Muir |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1144369935 PECOS PAC ID: 1850446543 Enrollment ID: I20130327000606 |
Provider Name | Ryan Ellsworth |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104130574 PECOS PAC ID: 3678719135 Enrollment ID: I20130429000536 |
Provider Name | David Matthew Graff |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144635038 PECOS PAC ID: 9537424361 Enrollment ID: I20180529002189 |
Provider Name | Kathryn C Decker |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1366734394 PECOS PAC ID: 2567694078 Enrollment ID: I20181210002677 |
Provider Name | Dawn Ranae Quada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447834056 PECOS PAC ID: 2264827005 Enrollment ID: I20220315000907 |
Provider Name | Landon Ryan Bowerbank |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083234975 PECOS PAC ID: 8527480318 Enrollment ID: I20230712000413 |
Provider Name | Robert Joseph Liddiard |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1588004865 PECOS PAC ID: 7911293683 Enrollment ID: I20230721000919 |
Provider Name | Christopher Merrell Funk |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1720079528 PECOS PAC ID: 1052435757 Enrollment ID: I20230906002806 |
Provider Name | Jennie Tess Jahn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841064805 PECOS PAC ID: 3274978788 Enrollment ID: I20240223002470 |
Provider Name | Emilee A Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205688421 PECOS PAC ID: 5193164663 Enrollment ID: I20240416003918 |
Provider Name | Jodi Lyn Putnam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558109504 PECOS PAC ID: 9830636836 Enrollment ID: I20240808001760 |
Provider Name | Gary Lynn Chambers |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1538139621 PECOS PAC ID: 7416138300 Enrollment ID: I20240828004926 |
Provider Name | David B Randall |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710976535 PECOS PAC ID: 9739087628 Enrollment ID: I20241021002399 |
Mailing Address | Practice Location Address |
---|---|
Ellsworth Foot And Ankle Clinic 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065-7299 Ph: (801) 253-6886 | Ellsworth Foot And Ankle Clinic 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065 Ph: (801) 253-6886 |
Mark R Elkins, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4019 W 12600 South, Suite 120, Riverton, UT 84096 Phone: 801-253-6886 Fax: 801-253-6888 | |
Mark R Elkins Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4019 W 12600 S, Suite 120, Riverton, UT 84096 Phone: 801-253-6886 Fax: 801-253-6888 | |
Advanced Wound Care Of Utah Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 13836 S Glen Laurel Cir, Riverton, UT 84065 Phone: 928-530-3230 | |
Robert Joseph Liddiard, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065 Phone: 801-253-6886 | |
Dr. Braden Russ Brklacich, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065 Phone: 801-253-6886 | |
Ingrown Toenails Only Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4019 W 12600 S Ste 120b, Riverton, UT 84096 Phone: 801-273-0001 |