Matthew Mckinley Ellsworth (NPI# 1124387618, PAC ID# 2163653528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1124387618 |
| PAC ID by PECOS | 2163653528 |
| Professional Enrollment ID | I20150707002737 |
| Full Name | Matthew Mckinley Ellsworth |
| Organization Legal Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Address |
617 23rd St Suite 215 Ashland KY 41101-2870 |
| Phone Number | 6064081260 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6103968029 |
| Number of Group Practice Members | 171 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| 360361 | KINGS DAUGHTERS MEDICAL CENTER OHIO |
| Address | Phone | Organization |
|---|---|---|
| 617 23rd St, Suite 215, Ashland, KY 41101-2870 | 6064081260 | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| 1901 Argonne Rd, Portsmouth, OH 45662-2827 | 7403531978 | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| 2001 Scioto Trl, Suite 200, Portsmouth, OH 45662-2845 | 7403538100 | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Organization Legal Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghaith M Nahlawi | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653-1889 |
| Justin K Dixon | Urology | Kings Daughters Medical Specialties Inc | 2201 Lexington Ave, Ashland, KY 41101-2843 |
| Kevin M Wolfe | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Hassan R Abul Khoudoud | Family Medicine | Kings Daughters Medical Specialties Inc | 1200 Central Ave, Suite 2, Ashland, KY 41101-7575 |
| John K Miller | General Surgery | Kings Daughters Medical Specialties Inc | 14395 State Route 93, Jackson, OH 45640-9798 |
| Ryann A Pangan | Nephrology | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 130, Ashland, KY 41101-2876 |
| Zane A Darnell | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 912 Park Ave, Ironton, OH 45638-1596 |
| Hullukunte B Shivaprasad | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 8750 Ohio River Rd, Wheelersburg, OH 45694-1918 |
| Susan Aliff | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 140, Ashland, KY 41101-2876 |
| Chad J Tarabolous | Hematology/oncology | Kings Daughters Medical Specialties Inc | 2201 Lexington Ave, Ashland, KY 41101-2843 |
| Street Address |
617 23RD ST SUITE 215 |
| City | ASHLAND |
| State | KY |
| Zip | 41101-2870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Canty | Gastroenterology | Tri-state Digestive Disease Assoc Psc. | 617 23rd St, Suite 11, Ashland, KY 41101-2845 |
| Tanya Catherine Warwick | Neuropsychiatry | Kings Daughters Medical Specialties Inc | 617 23rd St, Suite 400, Ashland, KY 41101-2880 |
| James Brian Frederick | Obstetrics/gynecology | J Brian Frederick, M.d., Pllc | 617 23rd St, Suite 415, Ashland, KY 41101-2845 |
| Melissa Faye Johnson | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 617 23rd St, Suite 400, Ashland, KY 41101-2880 |
| Miranda Diane Davis | Nurse Practitioner | Tony W Dotson, Do, Pllc | 617 23rd St, Suite 415, Ashland, KY 41101-2882 |
| David Kendall Goebel | Hematology/oncology | Kings Daughters Medical Specialties Inc | 617 23rd St, Suite 19, Ashland, KY 41101-2845 |
| Mary Katherine Hughes | Surgical Oncology | Kings Daughters Medical Specialties Inc | 617 23rd St, Suite 19, Ashland, KY 41101-2845 |
| Eva Joseph | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 617 23rd St, Suite 19, Ashland, KY 41101-2845 |
| Brooke E Vass | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 617 23rd St, Suite 215, Ashland, KY 41101-2870 |
| Wanda Marie Poplin | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 617 23rd St, Suite 215, Ashland, KY 41101-2870 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy K Dixon | Urology | Kings Daughters Medical Specialties Inc | 336 29th St, Suite 100, Ashland, KY 41101-1900 |
| William H Boykin Jr. | Urology | Kings Daughters Medical Specialties Inc | 336 29th St, Suite 100, Ashland, KY 41101-1900 |
| Sarah Shannon | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Jerrel Boyer | Neurosurgery | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Freda Fields | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Jolinda Dillow | Dermatology | 336 29th St, Suite 201, Ashland, KY 41101-1932 | |
| Patricia A Marshall | Nurse Practitioner | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Marcos Estrada Gomez | Rheumatology | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Julie Ann Estep | Nurse Practitioner | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Leslie L Calico | Physical Therapy | Ironton Physcial Therapy Inc | 2700 Greenup Ave, Ashland, KY 41101-1953 |
| Find all physicians in zip 41101 | |||
| City | ASHLAND |
| Zip Code | 41101 |
| Specialty | PODIATRY |
| City + Specialty | ASHLAND + PODIATRY |
Please comment or provide details below to improve the information on Matthew Mckinley Ellsworth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.