| Dr John P Ellis Clinic Podiatry Llc | |
| 21992 Lorain Rd, Fairview Park, OH 44126-3333 | |
| (440) 333-7300 | |
| (440) 235-8440 | 
| Full Name | Dr John P Ellis Clinic Podiatry Llc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist | 
| Location | 21992 Lorain Rd, Fairview Park, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972777928 | NPI | - | NPPES | 
| 0691845 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213E00000X | Podiatrist | 36002463E (Ohio) | Primary | 
| Provider Name | John Ellis | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1043384795 PECOS PAC ID: 9931299716 Enrollment ID: I20071217000600 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr John P Ellis Clinic Podiatry Llc 4758 Ridge Rd, Ste 161, Cleveland, OH 44144-3327 Ph: (440) 235-8484 | Dr John P Ellis Clinic Podiatry Llc 21992 Lorain Rd, Fairview Park, OH 44126-3333 Ph: (440) 333-7300 | 
| John P Ellis, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 21992 Lorain Rd, Fairview Park, OH 44126 Phone: 440-333-7300 Fax: 440-995-1234 | |
| Dr. Raymond Randall Alferink, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4492 W 220th St, Fairview Park, OH 44126 Phone: 440-734-2228 Fax: 440-734-1793 | |
| Stanley Luksenburg Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21475 Lorain Rd, Fairview Park, OH 44126 Phone: 440-356-1118 | |
| Dr Bodman Podiatry Associates Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 21245 Lorain Road, Suite 115, Fairview Park, OH 44126 Phone: 440-356-1989 Fax: 440-356-5944 | |
| Dr. Myron A Bodman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126 Phone: 440-356-1989 Fax: 440-356-5944 | |
| Dr. Michael James Bodman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 21245 Lorain Rd, Suite 115, Fairview Park, OH 44126 Phone: 440-356-1989 Fax: 440-356-5944 | |
| John Mario Cuffari, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21992 Lorain Rd, Fairview Park, OH 44126 Phone: 440-333-7300 Fax: 440-333-7308 |