JOHN ULLERY MD
NPI 1114975802
Pediatrics in Boise, ID

NPI Status: Active since May 04, 2006

Contact Information

305 E JEFFERSON ST
SUITE 101
BOISE, ID
ZIP 83712
Phone: (208) 345-0715
Fax: (208) 345-1142

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  • Individual
  • Male
  • Pediatrics

About JOHN ULLERY

This page provides the complete NPI Profile along with additional information for John Ullery, a pediatrician established in Boise, Idaho with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1114975802 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X with license number M-3962 (ID). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1114975802
Provider Name
JOHN ULLERY MD
Gender
Male
Entity Type
Individual
Location Address
305 E JEFFERSON ST SUITE 101 BOISE, ID 83712
Location Phone
(208) 345-0715
Location Fax
(208) 345-1142
Mailing Address
305 E JEFFERSON ST SUITE 101 BOISE, ID 83712
Mailing Phone
(208) 345-0715
Mailing Fax
(208) 345-1142
Is Sole Proprietor?
Yes
Enumeration Date
05-04-2006
Last Update Date
07-08-2007
Code Navigator

A pediatrician like John Ullery is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
M-3962
License State
ID
Taxonomy Description
A 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114975802
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241871080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 7 + 1 + 0 + 8 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1114975802 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

RALPH HIGER MD

Pediatrics

305 E JEFFERSON ST
SUITE 101
BOISE, ID
ZIP 83712

(208) 345-0715

LARRY BISHOP MD

Pediatrics

305 E JEFFERSON ST
SUITE 101
BOISE, ID
ZIP 83712

(208) 345-0715

DR. CHERYL HIGER D.M.D.

Dentist

(Pediatric Dentistry)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 384-9872

KAREN M REDWINE M.D.

Pediatrics

(Pediatric Nephrology)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7336

JOSEPH A HILINSKI MD

Pediatrics

(Pediatric Infectious Diseases)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7330

JEAN U BENDER MD

Pediatrics

(Pediatric Nephrology)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7336

MICHELE B EBBERS MD

Urology

(Pediatric Urology)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-6196

MRS. SHANNON SUZANNE MORRILL PA-C

Physician Assistant

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-5180

MALIA LYNN FRAZIER NP

Nurse Practitioner

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-9590

DR. PAUL CHRISTIAN NEVILLE O.D.

Optometrist

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-6910

JAEGER A ASHTON NP

Nurse Practitioner

(Pediatrics)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-9590

LYNN M LUGINBUHL MD

Pediatrics

(Pediatric Infectious Diseases)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7330

TRACY L. VARNER RD

Dietitian, Registered

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7081

KODY MICHAEL DUCLOS RD, LD

Dietitian, Registered

(Nutrition, Pediatric)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7081

SAMANTHA CRAGG M.D.

Physical Medicine & Rehabilitation

(Pediatric Rehabilitation Medicine)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(083) 815-1112

DR. SEAN TIMPANE MD

Pediatrics

(Hospice and Palliative Medicine)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7095

BAILEY SEVERE MS

Genetic Counselor, MS

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7339

ALEXANDRIA JORDAN KOMLENIC NP

Nurse Practitioner

(Family)

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7310

ILSE M MORENO RDN

Dietitian, Registered

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 381-7081

MADISON TAYLOR GORTON RDN

Dietitian, Registered

305 E JEFFERSON ST
BOISE, ID
ZIP 83712

(208) 706-5437

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114975802, enumerated as an "individual" on May 04, 2006.

The provider is located at 305 E JEFFERSON ST SUITE 101 BOISE, ID 83712 and the phone number is (208) 345-0715.

Pediatrics with taxonomy code 208000000X.