Summit Foot And Ankle

LBN: Ellsworth Foot And Ankle Clinic
Summit Foot And Ankle is an health care organization with primary practice located at 505 Fairburn Rd Sw Ste 100 , Atlanta GA 30331-2012. The organization recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Ambulatory Health Care Facilities / Podiatric. Ambulatory Health Care Facilities / Podiatric is the primary health care specialty. Ellsworth Foot And Ankle Clinic can be contacted via phone (404) 618-6077, or through Ellsworth, Ryan via phone (801) 273-0001.

Contact Information

Primary practice address
505 Fairburn Rd Sw Ste 100 Atlanta GA 30331-2012
Phone: (404) 618-6077
Fax: (801) 253-6888
Website:
Map and Directions
Authorized official contact:
Name: Ellsworth, Ryan Doctor of Podiatric Medicine (DPM)
Phone: (801) 273-0001

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1639769672
LBN Legal business name Ellsworth Foot And Ankle Clinic
DBA Doing business as Summit Foot And Ankle
Authorized official Ellsworth, Ryan Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2021
Last updated Jun 19th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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