Jason M Ellison
MD | Pediatric Gastroenterology | Male
Jason M Ellison, MD is a Boise, Idaho based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Jason M Ellison is
1072 N Liberty St, Ste 200, Boise, Idaho - 83704. He can be contacted on phone at
208-302-4600 and fax number 208-302-4655.
Jason M Ellison is a sole proprietor of his business.
NPI number (Unique professional ID) for Jason M Ellison is
1740231455 which was assigned by NPPES on 15 May, 2006 and it was last updated on 25 Apr, 2018.
Jason M Ellison license number is
M-10380 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Idaho.
Jason M Ellison 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 performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Jason M Ellison basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Jason M Ellison |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jason M Ellison address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1072 N Liberty St, Ste 200
Boise, ID, 83704
United States |
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| Phone Number : | 208-302-4600 |
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| Fax Number : | 208-302-4655 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740231455 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 May, 2006 |
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| Last Updated On : | 25 Apr, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason M Ellison are as mentioned. Primary taxonomy code for Jason M Ellison, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | M10380 | ID |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | M-10380 | ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3340 E Goldstone Way
Meridian, ID, 83642
United States |
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| Phone Number : | 208-302-4600 |
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| Fax Number : | 208-302-4655 |
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Business Location:
Patients can refer following map for directions to
Jason M Ellison practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.