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

Mark D. Wigod, MD, PA

Organization Plastic and Reconstructive Surgery Physician · NPI 1679751770

Mark D. Wigod, MD, PA is a Plastic and Reconstructive Surgery Physician in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3630 E Louise Dr
Meridian, ID 83642-7975
Phone: (208) 377-9515
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence M8189 (ID)

Record details

NPI number1679751770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wigod — President · (208) 377-9515
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJanuary 31, 2008
Mailing address3630 E Louise Dr, Meridian, ID 83642-7975

Other providers in Meridian