DR. MARK DAVID WIGOD MD
NPI 1427086164
Surgery - Plastic and Reconstructive Surgery in Meridian, ID

Q: What is Mark Wigod's NPI number?

The NPI number for Mark Wigod is 1427086164. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Mark Wigod's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Mark Wigod was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2006PECOS Enrolled

3630 E LOUISE DRIVE, MERIDIAN, ID 83642(208) 377-9515(208) 377-9517 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Mark David Wigod Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK DAVID WIGOD MD (NPI 1427086164) is an individual plastic and reconstructive surgery provider in Meridian, Idaho, licensed in Idaho (M8189) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427086164

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. MARK DAVID WIGODCredential: MD

Location Address3630 E LOUISE DRIVEMeridian, ID 83642

Mailing Address7157 N Spurwing WayMeridian, ID 83642-5179

Phone(208) 377-9515

Fax(208) 377-9517

Sole ProprietorYes

Enumeration DateJune 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1427086164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in ID · M8189

Definition

A surgeon who specializes in plastic and reconstructive surgery.

3630 E LOUISE DRIVE, Meridian, ID 83642

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark David Wigod Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wigod's NPI number?

The NPI number for Mark Wigod is 1427086164. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Mark Wigod located?

Mark Wigod practices at 3630 E Louise Drive, Meridian, ID 83642. The listed phone number is (208) 377-9515.

What is Mark Wigod's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mark Wigod enrolled in Medicare?

Yes. Mark Wigod is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Wigod was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.