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DR. MARK FREDERICK BLUMENTHAL MD
NPI 1659402238
Specialist in Saint Louis, MO

Active since March 08, 2007
12878 MANCHESTER RD, SUITE C, SAINT LOUIS, MO 63131(314) 966-6100 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Frederick Blumenthal Md NPPES

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

DR. MARK FREDERICK BLUMENTHAL MD (NPI 1659402238) is an individual specialist in Saint Louis, Missouri, licensed in Missouri (R7718) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1659402238
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARK FREDERICK BLUMENTHALCredential: MD
Location Address12878 MANCHESTER RD, SUITE CSaint Louis, MO 63131-1803
Mailing Address12878 Manchester Rd # CSaint Louis, MO 63131-1803 · (314) 966-6100
Phone(314) 966-6100
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 31, 2016
✔ NPI 1659402238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · R7718
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12878 MANCHESTER RD, Saint Louis, MO 63131
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Other Identifiers 2

Medicare UPINA11529MO
Medicare ID-Type Unspecified000011562MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Blumenthal's NPI number?

The NPI number for Mark Blumenthal is 1659402238. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Mark Blumenthal located?

Mark Blumenthal practices at 12878 Manchester Rd Suite C, Saint Louis, MO 63131. The listed phone number is (314) 966-6100.

What is Mark Blumenthal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Blumenthal was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.