MATTHEW MCKINLEY ELLSWORTH (NPI# 1124387618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124387618 |
| Entity Type | Individual |
| Full Name | MATTHEW MCKINLEY ELLSWORTH |
| Credential | DPM |
| Practice Address |
613 23rd St Ste G30 Ashland KY 41101-2881 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6063270036 |
| Practice Fax Number | 6063261159 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 36.003921 | OH | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 00426 | KY | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
00426 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100351750 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 Scioto Trl Ste 200, Portsmouth, OH 456622845 | 7403538100 | 7403538908 |
| 2483 Highway 644 Ste 103, Louisa, KY 412309242 | 6066389954 | 6066383590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487933636 | Matthew Ellsworth | Pharmacist | 3960 E Chandler Blvd, Phoenix, AZ 85048-0300 | 2011-08-05 |
| Street Address |
613 23RD ST STE G30 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780641415 | Jeremy M Kaltenbach | Physician Assistant | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2006-04-27 |
| 1497304695 | Morgan Elizabeth Hensley | Emergency Medicine | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2019-09-10 |
| 1225592538 | Taren Bone | Specialist/Technologist | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2019-01-31 |
| 1568974319 | Mandy Yvonne Bell | Specialist/Technologist | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2017-11-02 |
| 1184148777 | Tiffany Leeann Curnutte | Nurse Practitioner | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2017-07-26 |
| 1528502200 | Kings Daughters Medical Specialties Inc. | Podiatrist | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2016-12-14 |
| 1245507425 | Kimberly R Green | Registered Nurse | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2011-11-16 |
| 1437442704 | Sinan Emre Ozgur | Orthopaedic Surgery | 613 23rd St Ste G30, Ashland, KY 41101 | 2011-05-19 |
| 1053643981 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2010-02-03 |
| 1568690915 | Michael James Chambers | Orthopaedic Surgery | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2009-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079543 | King's Daughters Medical Specialties, Inc. | Podiatrist | 1000 Ashland Dr Ste 104, Ashland, KY 41101-7092 | 2020-03-26 |
| 1912048992 | Christopher Bryan Moore | Podiatrist | 5850 Us Route 60, Suite O, Ashland, KY 41102-9516 | 2007-02-10 |
| 1174608186 | Lauren Triplett-schweickart | Podiatrist | 2201 Raintree Ct, Ashland, Ashland, KY 41101-3605 | 2006-10-26 |
| 1942392741 | Michelle Ann Murray | Podiatrist | 1101 Saint Christopher Drive, Suite 355, Ashland, KY 41101-7000 | 2006-09-29 |
| 1265436026 | Jess Daniel Songer | Podiatrist | 841 29th St, Ashland, KY 41101-3019 | 2005-06-09 |
| 1528502200 | Kings Daughters Medical Specialties Inc. | Podiatrist | 613 23rd St Ste G30, Ashland, KY 41101-2881 | 2016-12-14 |
| 1952571481 | William Howard Latham Jr | Podiatrist | 910 Katherine Ave, Suite C, Ashland, OH 44805-3692 | 2008-03-12 |
| 1003004235 | Ashland Footcare | Podiatrist | 841 29th St, Ashland, KY 41101-3019 | 2007-10-12 |
| 1730305962 | Comprehensive Foot & Ankle, Sc | Podiatrist | 415 Ellis Ave, Ashland, WI 54806-1631 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112983 | Peter Cunningham | Podiatrist | 1 Audubon Plaza Dr Ofc L2, Louisville, KY 40217-1318 | 2019-09-09 |
| 1447787676 | Jenna Vaught LLC | Podiatrist | 3407 Kerry Dr, Louisville, KY 40218-2131 | 2017-05-18 |
| 1528429289 | Carrie A. Tull, Dpm LLC | Podiatrist | 272 Redwing Dr, Winchester, KY 40391-2928 | 2016-03-09 |
| 1083907471 | Larry K Ketcherside | Podiatrist | 9110 Leesgate Rd, Louisville, KY 40222-5053 | 2011-05-18 |
| 1013210251 | Dr. Robert F Hailey, Dpm Psc | Podiatrist | 333 S 6th St, Mayfield, KY 42066-2309 | 2010-12-09 |
| 1558516054 | Jessica S Jackson Dpm Pllc | Podiatrist | 15014 Bircham Rd, Louisville, KY 40245-4104 | 2008-11-25 |
| 1568625903 | Janine A. Valentino | Podiatrist | 9880 Angies Way Suite 110, Louisville, KY 40241-2943 | 2008-07-07 |
| 1518134386 | Jennifer Benge Emery | Podiatrist | 427 Us 31w Byp Ste 202, Bowling Green, KY 42101-1703 | 2008-05-12 |
| 1760676092 | Advanced Foot Care of Northern Ky | Podiatrist | 1880 Ashwood Cir, Ft Wright, KY 41011-2602 | 2007-08-29 |
| 1487847331 | Robert Jamey Herbst | Podiatrist | 7911 Mall Rd, Florence, KY 41042-1409 | 2007-08-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.