Randal Ellsworth, MD

Individual Active
NPI 1588635627
Specialist Provo, UT

Randal Ellsworth, MD holds NPI 1588635627, with a primary taxonomy of specialist and a practice location in Provo, UT. The number was issued on January 27, 2006 and the NPPES record was last updated on July 13, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X 942742051205 (UT)

Practice location

1735 N State St
Provo, UT 84604-1010
Phone: (801) 374-1818

Local context

Active NPPES records list 105 providers with specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 48 of them within 10 miles.

The same primary taxonomy is listed by 602 in Utah and 89,616 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Randal N Ellsworth
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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