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

John P Ellis, DPM

Individual provider Podiatrist · NPI 1043384795

John P Ellis, DPM is a Podiatry in Fairview Park, Ohio. Graduated from Kent State University College of Podiatric Medicine in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
40
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

21992 Lorain Rd
Fairview Park, OH 44126-3333
Phone: (440) 333-7300
Fax: (440) 995-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 36002463E (OH)

Record details

NPI number1043384795
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESJanuary 23, 2015
Mailing address21992 Lorain Rd, Fairview Park, OH 44126-3333

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairview Park