Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON M ELLISON, MD
ActiveJASON M ELLISON, MD is a Pediatric Gastroenterology healthcare provider located in BOISE, Idaho. NPI 1740231455 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · BOISE, ID
Registration Details
- NPI Number
- 1740231455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (20.241526837956 yrs)
- Last Updated
- Apr 25, 2018
- Licenses
-
M10380 (ID)M-10380 (ID)
Practice Information
- Address
-
1072 N LIBERTY STSTE 200BOISE, ID, 83704Browse ID providers · Browse ZIP 83704
- Phone
- 2083024600
- Fax
- 2083024655
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
Other Pediatric Gastroenterology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| HENRY R THOMPSON | MD | 1306898051 |
| DR. CASS R SMITH | MD | 1760434534 |
| TYLER M BURPEE | MD | 1700810454 |
| DR. JOHN STEPHEN COLLIER | M.D. | 1659729903 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.