Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYARA ELLIS
ActiveFoot & Ankle Surgery · CHARLESTON, WV
Registration Details
- NPI Number
- 1164220117
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2025 (1.1302169367383 yrs)
- Last Updated
- Mar 5, 2025
Practice Information
- Address
-
1599 2ND AVECHARLESTON, WV, 253872514Browse WV providers · Browse ZIP 25387
- Phone
- 3043440586
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| DALYANN BARNETT | ATC | 1578969408 |
| J LINER MCGILL III | — | 1528691847 |
| TANYA FREEMAN | — | 1902422066 |
| JEFFERY LEE BAISE | — | 1467062828 |
| SARA SULLIVAN | — | 1760092837 |
| ITAI GRAVELY | — | 1255941316 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.