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Deactivated NPI 1609814425 Deactivated / Inactive NPI Male Practitioner

Dr. David Martin Ellis , DPM

Podiatrist • Cambridge, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Ellis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2006
NPI Deactivation Date July 16, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. David Ellis, DPM was a registered Podiatrist practicing in Cambridge, OH. Throughout an active medical career spanning 20 years, Dr. Ellis provided care at the practice location at 123 SOUTHGATE PKWY until profile deactivation on 2026-07-16.

Historical Medicare Part B clinical services included trimming of fingernails or toenails, removal of fingernails or toenails, 1-5 nails, removal of noncancer thickened skin growth, 2-4 growths. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

123 Southgate Pkwy

Cambridge, OH 437252325

Telephone 7404326556
Fax 7404322506
Associated Practice Facility / Clinic
🏢 Foot & Ankle Specialists Inc Facility NPI 1295885697

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Cambridge, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Cambridge, OH (595 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
10.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11719 Trimming of fingernails or toenails
60 60 $14.67 $10.96
11720 Removal of fingernails or toenails, 1-5 nails
60 60 $33.99 $30.94
11056 Removal of noncancer thickened skin growth, 2-4 growths
15 15 $61.00 $55.76

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36001852

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 16, 2026

Record deactivated on July 16, 2026

NPI Profile Active November 04, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 04, 2009

Registered at 123 SOUTHGATE PKWY, CAMBRIDGE, OH 437252325 (Tel: 7404326556)

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Updated Business Mailing Address November 04, 2009

Registered at 123 SOUTHGATE PKWY, CAMBRIDGE, OH 437252325 (Tel: 7404326556)

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Provider Name / Credentials Updated November 04, 2009

Recorded as DAVID ELLIS, D.P.M.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2009

Podiatrist (License #36001852 in OH)

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Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609814425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: November 04, 2009
Deactivation Date: July 16, 2026

Mailing Address

123 Southgate Pkwy

Cambridge, OH 437252325

Phone: 7404326556

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.