MARK A BLAZEK M.D. - NPI 1649240292 - Pediatrics in Portage, MI

Q: What is Mark Blazek's NPI number?

The NPI number for Mark Blazek is 1649240292. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Mark Blazek's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Blazek was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mark A Blazek M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A BLAZEK M.D. (NPI 1649240292) is an individual pediatrics provider in Portage, Michigan, licensed in Michigan (MB041426) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1649240292

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMARK A BLAZEKCredential: M.D.

Location Address670 MALL DRPortage, MI 49024-2878

Mailing Address670 Mall DrPortage, MI 49024-2878 · (269) 327-1900 · Fax (269) 327-1564

Phone(269) 327-1900

Fax(269) 327-1564

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1649240292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · MB041426

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

670 MALL DR, Portage, MI 49024

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