NPI age
19 years
Enumerated 2007-02-07
● Active
Type 1 · Individual
DR. Mark MacUmber, MD
MacUmber is 1 of 1 phlebology providers in Meridian and 1 of 3 in Idaho.
Primary specialty
Phlebology
Plus 1 subspecialty
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3 active phlebology providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
3277 E Louise Dr Ste 360
Meridian, ID 836429359
Mailing address
3114 W Irving Park Rd Ste 1w
Chicago, IL 606183435
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3114 W Irving Park Rd Ste 1w
Chicago, IL 606183435
Specialties
-
Phlebology PrimaryPhlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 036096467 | |
| 01 (IL) | 789511 | GROUP MEDICARE PTAN |
| 01 (IL) | 789510 | GROUP MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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