Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Paul Ellsworth, DO

Individual provider Family Medicine Physician · NPI 1780786707

Charles Paul Ellsworth, DO is a Family Practice in Mount Morris, Michigan. Qualified in 1997, 29 years ago. Practices with Henry Ford Medical Group Genesys, a 97-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7057 N Clio Rd
Mount Morris, MI 48458-8261
Phone: (810) 670-0200
Fax: (810) 670-0196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101015196 (MI)

Record details

NPI number1780786707
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESDecember 9, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Henry Ford Medical Group Genesys — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Mount Morris