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

Dr. Mark Macumber, MD

Individual provider Family Medicine Physician · NPI 1598805830

Dr. Mark Macumber, MD is a Family Practice in Meridian, Idaho. Qualified in 1994, 32 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3277 E Louise Dr Ste 360
Meridian, ID 83642-9359
Phone: (208) 600-1550
Fax: (208) 600-1551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 — (312) 600-4526

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence 036-096467 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036096467 (IL)

Record details

NPI number1598805830
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing address3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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