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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609171115

Marc Andrew Ellsworth, MD is a Student in an Organized Health Care Education/Training Program in Gilbert, Arizona. Works from 2 locations. Licensed in Arizona and Minnesota.

Licensed in
AZ, MN
In the registry since
2011
Specialties on file
3
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

3420 S Mercy Rd Ste 205
Gilbert, AZ 85297-0423
Phone: (602) 933-6345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4107 E Grove Cir, Mesa, AZ 85206-3313 — (585) 281-6935

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 51592 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence 54096 (MN)

Record details

NPI number1609171115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 13, 2011
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

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