OrganizationActive
Dr Mark F Ellis Dpma Professional Medical Corporation
NPI 1811934268 · Foot Surgery Podiatrist · Lafayette, LA
Provider details
- NPI number
- 1811934268
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Mark Ellis, Physician(337) 593-1278
- License
- 1670511 (LA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
913 S College Rd Ste 216b
Lafayette, LA 70503-3060
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
- 2006-06-01
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.