IndividualActive
John Ullery, MD
NPI 1114975802 · Pediatrics Physician · Boise, ID
John Ullery, MD is a Pediatrics Physician provider in Boise, ID (NPI 1114975802).
Provider details
- NPI number
- 1114975802
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- M-3962 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
305 E Jefferson St
Suite 101
Boise, ID 83712-6273
Phone: (208) 345-0715
Fax: (208) 345-1142
Street-level locationGet directions
Mailing address
305 E Jefferson St
Boise, ID 83712-6273
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Ullery's NPI number?
- John Ullery's National Provider Identifier (NPI) is 1114975802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Ullery's specialty?
- John Ullery is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is John Ullery located?
- John Ullery's practice location on file with NPPES is 305 E Jefferson St, Boise, ID 83712-6273.
- What is John Ullery's phone number?
- The practice phone number listed in the NPPES registry for John Ullery is (208) 345-0715.
- Is John Ullery's NPI active?
- Yes — John Ullery's NPI (1114975802) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.