IndividualActive
Mark Ellis, DPM
NPI 1215975891 · Foot Surgery Podiatrist · Lafayette, LA
Provider details
- NPI number
- 1215975891
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 1670511 (LA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
501 W Saint Mary Blvd
Suite B
Lafayette, LA 70506-4600
Phone: (337) 593-1278
Fax: (337) 593-1280
Approximate (ZIP-level) locationGet directions
Mailing address
501 W Saint Mary Blvd
Lafayette, LA 70506-4600
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2008-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.