Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114975802 Individual Practitioner Male Practitioner

Dr. John Ullery , MD

Pediatrics • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. John Ullery, MD is a registered healthcare professional specializing in Pediatrics in Boise, ID. Practice services are available at 305 E JEFFERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 E Jefferson St
Suite 101

Boise, ID 837126273

Telephone 2083450715
Fax 2083451142

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
69 Specialists

Practicing in Boise, ID (228 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ID M-3962

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Stephanie Marria , BSN

Nurse Practitioner - Pediatrics

NPI 1124544192

Bachelor of Science in Nursing

NPI 1134178403

Doctor of Medicine (M.D.)

NPI 1225569551
NPI 1245288968

Doctor of Medicine (M.D.)

Virginia Watterson , LCSW

Social Worker - Clinical

NPI 1346586930

Licensed Clinical Social Worker

NPI 1396823985

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 305 E JEFFERSON ST, SUITE 101, BOISE, ID 837126273 (Tel: 2083450715)

📍
Updated Business Mailing Address July 08, 2007

Registered at 305 E JEFFERSON ST, SUITE 101, BOISE, ID 837126273 (Tel: 2083450715)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN ULLERY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #M-3962 in ID)

🟢
Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114975802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

305 E Jefferson St, Suite 101

Boise, ID 837126273

Phone: 2083450715

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.