Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RONALD K ELLSWORTH, MD
ActiveRONALD K ELLSWORTH, MD is a Family Medicine healthcare provider located in CASCADE, Idaho. NPI 1245556141 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CASCADE, ID
Registration Details
- NPI Number
- 1245556141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2010 (16.307877047111 yrs)
- Last Updated
- Feb 13, 2024
- License
-
M-11978 (ID)
Practice Information
- Address
-
402 LAKE CASCADE PKWYCASCADE, ID, 836117702Browse ID providers · Browse ZIP 83611
- Phone
- 2083824242
- Fax
- 2083825081
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CASCADE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. BRADLEY WADE GILMAN | M.D. | 1609940709 |
| DR. KATIE CAMARATA | DO | 1811429442 |
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.