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DR. JOHN HOLBERT ELLYSON MD
NPI 1336115922
Surgery in Jackson, CA

Active since February 24, 2006
340 LOWE ST, JACKSON, CA 95642(209) 223-2474 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. John Holbert Ellyson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN HOLBERT ELLYSON MD (NPI 1336115922) is an individual surgery provider in Jackson, California, licensed in California (G15379) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1336115922
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN HOLBERT ELLYSONCredential: MD
Location Address340 LOWE STJackson, CA 95642-2544
Mailing Address340 Lowe StJackson, CA 95642-2544 · (209) 223-2474
Phone(209) 223-2474
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1336115922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G15379
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
340 LOWE ST, Jackson, CA 95642
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Ellyson's NPI number?

The NPI number for John Ellyson is 1336115922. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is John Ellyson located?

John Ellyson practices at 340 Lowe St, Jackson, CA 95642. The listed phone number is (209) 223-2474.

What is John Ellyson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for John Ellyson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.