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

Mark D Wittry, MD

Individual provider Diagnostic Radiology Physician · NPI 1497721088

Mark D Wittry, MD is a Nuclear Medicine in Saint Louis, Missouri. Graduated from Rush Medical College of Rush University in 1983, 43 years ago. Practices with West County Radiological Group Inc, a 105-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
43
Trained at
Rush Medical College of Rush University
Licensed in
IL, MO
In the registry since
2006
Specialties on file
5
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

615 S New Ballas Rd Dept OF Nuclear Medicine
Saint Louis, MO 63141-8221
Phone: (314) 251-6465
Fax: (314) 251-4286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Medicine Physician (primary) Taxonomy 207U00000X · Licence R5F02 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence R5F02 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence R5F02 (MO)
Nuclear Imaging & Therapy Physician Taxonomy 207UN0902X · Licence R5F02 (MO)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 036069181 (IL)

Record details

NPI number1497721088
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESFebruary 22, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1983 (43 years in practice)
Group practice West County Radiological Group Inc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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