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

Mark Noble Schwendiman, DO

Individual provider Dermatology Physician · NPI 1417184409

Mark Noble Schwendiman, DO is a Dermatology in Meridian, Idaho. Qualified in 2009, 17 years ago. Practices with Ada West Dermatology, PC, a 26-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
17
Licensed in
ID
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone: (208) 884-3376
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence O1018 (ID)

Record details

NPI number1417184409
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 17, 2009
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1618 S Millenium Way Ste 100, Meridian, ID 83642-6457

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ada West Dermatology, P.C. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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