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

Stacy Gittel Blum, DO

Individual provider Dermatology Physician · NPI 1952757007

Stacy Gittel Blum, DO is a Dermatology in Wentzville, Missouri. Qualified in 2016, 10 years ago. Practices with Yoon Dermatology, LLC, an 8-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1060 Meyer Rd
Wentzville, MO 63385-3800
Phone: (314) 230-1500
Fax: (314) 230-1122
Show map & directions

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

Additional practice locations (3)

  • 1015 W Adams St, Bowling Green, MO 63334-1974 — (573) 324-5300
  • 509 W 18th St, Hermann, MO 65041-1547 — (573) 486-2191
  • 2325 Dougherty Ferry Rd Ste 207, Saint Louis, MO 63122-3356 — (314) 230-1500

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2020010791 (MO)

Record details

NPI number1952757007
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 8, 2016
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address1060 Meyer Rd, Wentzville, MO 63385-3800

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Yoon Dermatology, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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