Individual provider Active NPI

Mark G Parent, MD

  • Interventional Cardiology Physician
  • Boise, ID
National Provider Identifier
1558301515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M5376 Issued in ID
Practice address
6140 W Curtisian
Ste 200
Boise, ID 83704
Phone
(208) 322-1680
Fax
(208) 322-1695
NPI assigned
Jun 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X M5376 ID Primary

Addresses

Primary practice location

6140 W Curtisian
Ste 200
Boise, ID 83704

Mailing address

6140 W Curtisian
Ste 200
Boise, ID 83704
Phone (208) 322-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041016000168 ID Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6709846462 Reassigns benefits to 1 organization
I20101026001308 OR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6709846462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, shared by 4 NPIs, 672 clinicians

Practice addresses (Care Compare)

1050 SW 3Rd Ave
Suite 1800
Ontario, OR 97914-2193
Phone (208) 302-0000

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

3025 W Cherry LN
Meridian, ID 83642-8531

3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone (208) 302-2200

3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 523-6461

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

4424 E Flamingo Ave
Nampa, ID 83687-9306

6140 W Curtisian Ave
Boise, ID 83704-0107
Phone (208) 302-0000

6140 W Curtisian Ave
Boise, ID 83704-0109

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4162IDMDFamily Medicine Physician
M5376IDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Idaho Cardiology Associates PA Interventional Cardiology Past Accepting new patients
West Valley Professional Fee Billing, LLC Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

300 E Jefferson St
Ste 101
Boise, ID 83712
Phone (208) 336-4141

6140 W Curtisian Ave
Ste 2
Boise, ID 83704

6140 W Curtisian Ave
Ste 200
Boise, ID 83704
Phone (208) 363-9074

6140 W Curtisian Ave
Ste 300
Boise, ID 83704
Phone (208) 367-6575

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

315 E Elm St
Ste 350
Caldwell, ID 83605
Phone (208) 454-6363

21 E Maple St
Ste A
Hailey, ID 83333
Phone (208) 788-3200

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

520 S Eagle Rd
Ste 3104
Meridian, ID 83642
Phone (208) 373-1200

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

1050 SW 3rd Ave
Ontario, OR 97914
Phone (541) 881-7000

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Interoperability endpoints

  • Direct secure messaging: mparent1564101@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558301515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-322-1680",
            "fax_number": "208-322-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-322-1680",
            "fax_number": "208-322-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENT",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ID",
            "license": "M5376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.