Individual provider Active NPI

Steven K Ellsworth, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • St George, UT
National Provider Identifier
1487915054
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
12324607-1204 Issued in UT
Practice address
1380 E Medical Center Dr
St George, UT 84790-2123
Phone
(435) 251-3037
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of North Texas HSC, College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corepath Laboratories, P.a. 11 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo Medical Center
Laredo, TX 78041-5474
Phone (210) 617-4445

Hospital & facility affiliations

  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, UT, NV, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 4

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180811000201 TN Practitioner - Pathology 8820230584 Reassigns benefits to 1 organization
I20210629002717 UT Practitioner - Pathology 8820230584 Reassigns benefits to 2 organizations
I20240715003525 NV Practitioner - Pathology 8820230584 Reassigns benefits to 1 organization
I20260430001568 TX Practitioner - Pathology 8820230584 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Pathology Group a Professional Corporation Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2018 Accepting new patients
Osmond Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2024 Accepting new patients
Pathology Services PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 15, 2021 Accepting new patients
Pathology Services PC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathology Experts Inc Anatomic Pathology & Clinical Pathology CurrentSince Sep 28, 2022 Accepting new patients

Locations

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

1919 S Highland Ave
Bldg A
Lombard, IL 60148

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

5700 Southwyck Blvd
Toledo, OH 43614

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

497 W 4800 S
Ste 201
Murray, UT 84123

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 12324607-1204 UT Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X R7990 TX

Addresses

NPPES NPI Registry

Primary practice location

1380 E Medical Center Dr
St George, UT 84790-2123

Mailing address

1570 Canyon View Dr
Santa Clara, UT 84765-5572
Phone (817) 707-5450

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2026.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1487915054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CANYON VIEW DR",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655572",
            "telephone_number": "817-707-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "STEVEN",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "12324607-1204",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "R7990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.