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

Ellsworth Foot and Ankle PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1114389459

Ellsworth Foot and Ankle PLLC is a Foot & Ankle Surgery Podiatrist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4121 E Valley Auto Dr #110
Mesa, AZ 85206-4631
Phone: (480) 892-1540
Fax: (480) 892-2243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0786 (AZ)

Record details

NPI number1114389459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Ellsworth — Podiatrist · (480) 310-6015
NPI enumeratedMarch 25, 2016
Last updated in NPPESMay 2, 2016
Mailing address4121 E Valley Auto Dr, 110, Mesa, AZ 85206-4631

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