P Praxis·MD
● Active Type 1 · Individual

Ellen M Reynolds, MD

Surgery·Boise, ID· NPI 1679622542 · Enumerated 2007 · 19 years on NPI
Reynolds is 1 of 8 surgery providers in Boise and 1 of 10 in Idaho.
NPI age
19 years
Enumerated 2007-01-09
Primary specialty
Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 10 active surgery providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
30% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
100 E Idaho St, Ste 300
Boise, ID 837126267
📞 2083817370fax 2083817377
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
    ID license #M-7833 taxonomy 2086S0120X

Practice context

Part of a multi-provider practice. 186 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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