NPI age
20 years
Enumerated 2006-05-15
● Active
Type 1 · Individual
Jason M Ellison, MD
Ellison is 1 of 6 pediatrics providers in Boise and 1 of 7 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-04-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7 active pediatrics providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
1
In the 42% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
1072 N Liberty St, Ste 200
Boise, ID 83704
Mailing address
3340 E Goldstone Way
Meridian, ID 83642
Specialties
-
Pediatrics PrimaryA pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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