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

Dr. Randal N Ellsworth, MD

Individual provider Specialist · NPI 1588635627

Dr. Randal N Ellsworth, MD is a Specialist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1735 N State St
Provo, UT 84604-1010
Phone: (801) 374-1818
Fax: (801) 379-2959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 942742051205 (UT)

Record details

NPI number1588635627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESJuly 13, 2026

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