Active NPI 1437240124 Individual Practitioner Male Practitioner

Dr. Mark Owen Ellis , DPM

Podiatrist • Astoria, OR

Professional Overview & Biography Verified Profile Summary

Dr. Mark Ellis, DPM is a registered healthcare professional specializing in Podiatrist in Astoria, OR. Practice services are available at 582 22ND STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

582 22nd Street

Astoria, OR 97103

Telephone 5033250045

Fax 5033253242

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Astoria, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.0 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Astoria, OR (114 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OR DP00095

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

056416 (OR)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 582 22ND STREET, ASTORIA, OR 97103 (Tel: 5033250045)

📍

Updated Business Mailing Address July 08, 2007

Registered at 582 22ND STREET, ASTORIA, OR 97103 (Tel: 5033250045)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK ELLIS, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Podiatrist (License #DP00095 in OR)

🟢

Initial NPI Registration & Enumeration September 27, 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: 1437240124

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 27, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

582 22nd Street

Astoria, OR 97103

Phone: 5033250045

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.