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

Charles Paul Ellsworth, DO

Individual provider Family Medicine Physician · NPI 1780786707

Charles Paul Ellsworth, DO is a Family Practice in Mount Morris, Michigan. Qualified in 1997, 29 years ago. Practices with Henry Ford Medical Group Genesys, a 97-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7057 N Clio Rd
Mount Morris, MI 48458-8261
Phone: (810) 670-0200
Fax: (810) 670-0196
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101015196 (MI)

Record details

NPI number1780786707
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESDecember 9, 2014
Mailing address3495 S Center Rd, Burton, MI 48519-1455

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Henry Ford Medical Group Genesys — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Mount Morris