Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Ashley Black, MD

Individual provider Pediatric Obesity Medicine Physician · NPI 1043697113

Elizabeth Ashley Black, MD is a Pediatric Obesity Medicine Physician in Boise, Idaho. Works from 2 locations. Licensed in California and Idaho.

Licensed in
CA, ID
In the registry since
2015
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 381-7336
Fax: (208) 381-7495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 726 N Medical Center Dr E Ste 209, Clovis, CA 93611-6886 — (559) 325-5656

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence 2971396 (ID)
Pediatric Obesity Medicine Physician Taxonomy 2080B0002X · Licence A151555 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A151555 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatric Nephrology Physician Taxonomy 2080P0210X · Licence A151555 (CA)

Record details

NPI number1043697113
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2015
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address190 E Bannock St, Boise, ID 83712-6241