Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Frederick Blumenthal, MD

Individual provider Specialist · NPI 1659402238

Dr. Mark Frederick Blumenthal, MD is a Specialist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12878 Manchester Rd Ste C
Saint Louis, MO 63131-1803
Phone: (314) 966-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence R7718 (MO)

Record details

NPI number1659402238
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 8, 2007
Last updated in NPPESMarch 31, 2016

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