Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellsworth Foot and Ankle

Organization Podiatrist · NPI 1295486116

Ellsworth Foot and Ankle is a Podiatrist in Park City, Utah. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1678 Bonanza Dr
Park City, UT 84060-7201
Phone: (801) 253-6886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1295486116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allison Peck — Credentialing Specialist · (801) 253-6886
NPI enumeratedJanuary 12, 2022
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address9980 S 300 W Ste 310, Sandy, UT 84070-3654

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