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Randal Ellsworth, MD
NPI 1588635627 · Specialist · Provo, UT
Randal Ellsworth, MD is a Specialist provider in Provo, UT (NPI 1588635627).
Provider details
- NPI number
- 1588635627
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- License
- 942742051205 (UT)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1735 N State St
Provo, UT 84604-1010
Phone: (801) 374-1818
Fax: (801) 379-2959
Street-level locationGet directions
Mailing address
510 W 650 S
Orem, UT 84058-6136
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Randal Ellsworth's NPI number?
- Randal Ellsworth's National Provider Identifier (NPI) is 1588635627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randal Ellsworth's specialty?
- Randal Ellsworth is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Randal Ellsworth located?
- Randal Ellsworth's practice location on file with NPPES is 1735 N State St, Provo, UT 84604-1010.
- What is Randal Ellsworth's phone number?
- The practice phone number listed in the NPPES registry for Randal Ellsworth is (801) 374-1818.
- Is Randal Ellsworth's NPI active?
- Yes — Randal Ellsworth's NPI (1588635627) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.