Active NPI
Mark L Lloyd MD Chartered
- Gastroenterology Physician
- Meridian, ID
National Provider Identifier
1053511162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- M-7100
- Legal business name
- MARK L LLOYD MD CHARTERED
- Practice address
- 2235 E Gala St
Meridian, ID 83642-8026 - Phone
- (208) 343-1702
- Fax
- (208) 342-7042
- NPI assigned
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark L Lloyd, M.D.
- Title
- President
- Phone
- (208) 343-1702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | M-7100 | ID | Primary |
Addresses
Primary practice location
2235 E Gala St
Meridian, ID 83642-8026
Mailing address
425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-1702
National Provider Directory
National Provider DirectoryLocations
2335 E Gala St
Meridian, ID 83642
Phone (208) 887-3724
520 S Eagle Rd
Ste 3110
Meridian, ID 83642
Phone (208) 887-9724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280448000000",
"number": "1053511162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035",
"telephone_number": "208-343-1702",
"fax_number": "208-342-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 E GALA ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428026",
"telephone_number": "208-343-1702",
"fax_number": "208-342-7042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK L LLOYD MD CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2010-07-30",
"status": "A",
"authorized_official_last_name": "LLOYD",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-343-1702",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "M-7100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.