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

Joshua Todd Ellsworth

Individual provider Behavior Analyst · NPI 1073167821

Joshua Todd Ellsworth is a Physician Assistant in Enid, Oklahoma. Qualified in 2022, 4 years ago. Practices with Great Salt Plains Health Center Inc, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

231 S 30th St
Enid, OK 73701-6455
Phone: (580) 596-2800
Fax: (580) 596-2805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 51 W 3900 S, Salt Lake City, UT 84107-1431 — (580) 596-2800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4919 (OK)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1073167821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 30, 2019
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address9208 Nw 72nd St, Hesston, KS 67062-6201

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Great Salt Plains Health Center Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Enid