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Active NPI 1427086164 Individual Practitioner Male Practitioner

Dr. Mark David Wigod , MD

Surgery - Plastic and Reconstructive Surgery • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Dr. Mark Wigod, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Meridian, ID. Practice services are available at 3630 E LOUISE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3630 E Louise Drive

Meridian, ID 83642

Telephone 2083779515
Fax 2083779517
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Meridian, ID (13 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

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License ID M8189

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Rebecca Shaw , CFA

Surgery - Plastic and Reconstructive Surgery

NPI 1275772667
Chamagne Eaton , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1508197666
Jacqueline King

Clinic/Center - Ambulatory Surgical

NPI 1871749408

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 3630 E LOUISE DRIVE, MERIDIAN, ID 83642 (Tel: 2083779515)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7157 N SPURWING WAY, MERIDIAN, ID 836425179

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK WIGOD, MD

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

Surgery (License #M8189 in ID)

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Initial NPI Registration & Enumeration June 29, 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: 1427086164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

7157 N Spurwing Way

Meridian, ID 836425179

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.