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

Dr. Charles A Ellsworth, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1174580013

Dr. Charles A Ellsworth, MD is an Anatomic Pathology & Clinical Pathology Physician in Cooperstown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-3909
Fax: (607) 547-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 106484 (NY)

Record details

NPI number1174580013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 725, Cooperstown, NY 13326-0725

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