P Praxis·MD
● Active Type 1 · Individual

DR. Mark Michael Leyngold, MD

Plastic Surgery·Meridian, ID· NPI 1093839003 · Enumerated 2007 · 19 years on NPI
Leyngold is 1 of 3 plastic surgery providers in Meridian and 1 of 24 in Idaho.
NPI age
19 years
Enumerated 2007-03-16
Primary specialty
Plastic Surgery
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 24 active plastic surgery providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
3015 E Goldstone Dr # 130
Meridian, ID 836421549
📞 2089004673fax 2082665033
Mailing address
3015 E Goldstone Dr # 130
Meridian, ID 836421549
📞 2089004673fax 2082665033

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1600 Sw Archer Rd
Gainesville, FL 326103003
📞 3522657999

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    FL license #ME116419 taxonomy 208200000X

Identifiers

TypeValueNotes
05 (FL) 008971400
01 (ID) 20024303 MEDICARE

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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