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