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MARK D. WIGOD, M.D., P.A.

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Company Details

Name: MARK D. WIGOD, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Jun 2002 (23 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 439488
Place of Formation: IDAHO
File Number: 439488
ZIP code: 83642
County: Ada County
Mailing Address: KIM WIGOD STE 100 3630 E LOUISE DR MERIDIAN, ID 83642-7975

Agent

Name Role Address
MARK D WIGOD MD Agent 3630 E. LOUISE DRIVE, MERIDIAN, ID 83642

Secretary

Name Role Address Appointed On Resigned On
Kimberly M Wigod Secretary 7157 N SPURWING WAY, MERIDIAN, ID 83646 2024-05-07 2024-05-07

President

Name Role Address Appointed On
Mark D Wigod MD President 7157 N SPURWING WAY, MERIDIAN, ID 83646 2021-03-16

National Provider Identifier

NPI Number:
1679751770

Authorized Person:

Name:
DR. MARK DAVID WIGOD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2086S0122X - Plastic and Reconstructive Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
731649258
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006254580 2025-05-13
Annual Report 0005730003 2024-05-07
Annual Report 0005222301 2023-05-03
Annual Report 0004211278 2021-03-16
Annual Report 0003515339 2019-05-17

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
60500.00
Total Face Value Of Loan:
60500.00

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
60500
Current Approval Amount:
60500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
61063.56

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State