MARK ELLIS, DPM, Surgery, Foot & Ankle GLOBE, AZ

Contact Information

MARK ELLIS, DPM

5880 S HOSPITAL DR
GLOBE, AZ 85501-9447

Phone: 928-425-3246
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Public Health	213EP0504X	48	Podiatry
Radiology	213ER0200X	48	Podiatry
Sports Medicine	213ES0000X	48	Podiatry

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NPI Profile & details for MARK ELLIS · (Male)

NPI Number	`1972897080`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	06/06/2011
Last updated	06/10/2025 - About 12 months ago
Sole proprietor ¹	Yes
Identifiers	AZ License # 0821 UT License # 10105797-0501 AZ Medicaid 367438
Hospital affiliation(s)	COBRE VALLEY REGIONAL MEDICAL CENTER - (Critical Access) 5880 SOUTH HOSPITAL DRIVE GLOBE, AZ 85501 SAN CARLOS INDIAN HOSPITAL - (Acute Care) 223 CIBECUE CIRCLE ROAD SAN CARLOS, AZ 85550

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MARK ELLIS, DPM – NPI #1972897080Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

Public Health

Radiology

Sports Medicine

NPI Profile & details for MARK ELLIS · (Male)

Reviews for MARK ELLIS

MARK ELLIS, DPM – NPI #1972897080
Surgery, Foot & Ankle