Randal N. Ellsworth, MD
Specialist · Provo, UT
Randal N. Ellsworth, MD is a specialist with a practice address in Provo, Utah, and NPI 1588635627, issued on Jan 27, 2006. Check the license (Utah 942742051205, as entered in NPPES) with the Utah board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Randal N. Ellsworth
- Credential
- MD
- Primary taxonomy
- Specialist 174400000X
- License number
- 942742051205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1735 N State St, Provo, UT 84604
- Phone
- (801) 374-1818
- Enumerated
- Jan 27, 2006
- Record last updated
- Jul 13, 2026
- Fax
- (801) 379-2959
- Entity
- Type 1 · individual
Also registered at 1735 N State St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Randal N. Ellsworth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 942742051205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Specialist providers in Utah
There are 392 specialist records in Utah. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
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Common questions
What is Randal N. Ellsworth, MD's NPI number?
Randal N. Ellsworth, MD's National Provider Identifier (NPI) is 1588635627, issued on Jan 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Randal N. Ellsworth, MD located?
The NPPES record lists a practice address at 1735 N State St, Provo, UT, 84604. Phone: (801) 374-1818. Providers update this record themselves, so call before visiting.
How can I verify Randal N. Ellsworth, MD's license?
NPPES lists Utah license number 942742051205, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.