Marc Andrew Ellsworth
MD | Pediatric Neonatal-Perinatal Medicine | Male
Marc Andrew Ellsworth, MD is a Gilbert, Arizona based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Marc Andrew Ellsworth is
3420 S Mercy Rd Ste 205, Gilbert, Arizona - 85297-0423. He can be contacted on phone at
602-933-6345.
Marc Andrew Ellsworth is a sole proprietor of his business.
NPI number (Unique professional ID) for Marc Andrew Ellsworth is
1609171115 which was assigned by NPPES on 13 Jan, 2011 and it was last updated on 09 Dec, 2020.
Marc Andrew Ellsworth license number is
51592 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Arizona.
Marc Andrew Ellsworth is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Marc Andrew Ellsworth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Marc Andrew Ellsworth |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Marc Andrew Ellsworth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3420 S Mercy Rd Ste 205
Gilbert, AZ, 85297-0423
United States |
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| Phone Number : | 602-933-6345 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609171115 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Jan, 2011 |
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| Last Updated On : | 09 Dec, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marc Andrew Ellsworth are as mentioned. Primary taxonomy code for Marc Andrew Ellsworth, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 54096 | MN |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 51592 | AZ |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Marc Andrew Ellsworth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| ENROLLED | MEDICAID | MN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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4107 E GROVE CIR,
MESA, AZ, 85206-3313
United States | MESA, AZ | 585-281-6935 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3200 E Camelback Rd Ste 250
Phoenix, AZ, 85018-2327
United States |
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| Phone Number : | 602-933-1814 |
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Business Location:
Patients can refer following map for directions to
Marc Andrew Ellsworth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.