Individual Healthcare Provider
Matthew Mckinley Ellsworth, DPM
Provider's NPPES record last updated: August 12, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1124387618
- Primary Specialty
- Podiatrist
- Practice Location
- Ashland, Kentucky
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:38 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Podiatrist
Podiatric Medicine & Surgery Service Providers
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.
Taxonomy code 213E00000X Podiatrist
Foot Surgery
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ES0131X
Provider-Reported License Information
- Podiatrist (Kentucky)
- 00426
- Podiatrist (Ohio)
- 36.003921
- Podiatrist (Kentucky)
- 00426
Practice Locations
Practice Location
613 23rd St Ste G30
Ashland, Kentucky 41101-2881
Phone: (606) 327-0036
Additional Practice Location
2001 Scioto Trl Ste 200
Portsmouth, Ohio 45662-2845
Phone: (740) 353-8100
Fax: (740) 353-8908
Additional Practice Location
2483 Highway 644 Ste 103
Louisa, Kentucky 41230-9242
Phone: (606) 638-9954
Fax: (606) 638-3590
Record Information
- Enumeration Date
- May 3, 2012
- Provider's NPPES Record Last Updated
- August 12, 2020
- Certification Date
- August 12, 2020
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue