Mark Ballow
MD | Pediatric Allergy-Immunology | Male
Mark Ballow, MD is a Tampa, Florida based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Mark Ballow is
2 Tampa General Cir, Stc 5th Floor, Tampa, Florida - 33606-3603. He can be contacted on phone at
727-767-4150 and fax number 727-767-8532.
Mark Ballow is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Ballow is
1184660821 which was assigned by NPPES on 21 Jun, 2006 and it was last updated on 27 Oct, 2020.
Mark Ballow license number is
ME112011 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Florida.
Mark Ballow specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Mark Ballow basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Mark Ballow |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mark Ballow address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2 Tampa General Cir, Stc 5th Floor
Tampa, FL, 33606-3603
United States |
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| Phone Number : | 727-767-4150 |
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| Fax Number : | 727-767-8532 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184660821 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jun, 2006 |
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| Last Updated On : | 27 Oct, 2020 |
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Medicare Participation:
Mark Ballow participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3476447665 |
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| Medicare Enrollment ID : | I20130102000207 |
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| Primary Specialty : | Allergy/immunology |
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| Medical School : | University Of Chicago, Pritzker School Of Medicine |
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| Graduation Year : | 1969 |
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| Accepts Medicare? | Yes. Mark Ballow accepts medicare insurance. |
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Group Practice Association:
Mark Ballow is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark Ballow is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| University Medical Service Association Inc | 6800790221 | 661 | 601 5th S St
Saint Petersburg, FL - 337014804
Ph: 7278987451 | Yes |
| University Medical Service Association Inc | 6800790221 | 661 | 601 5th St S
Ach Outpatient Care Center
St Petersburg, FL - 337014804
Ph: 7278987451 | Yes |
| University Medical Service Association Inc | 6800790221 | 661 | 800 6th S St
Saint Petersburg, FL - 337014817
Ph: 7277674150 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Ballow are as mentioned. Primary taxonomy code for Mark Ballow, MD is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207K00000X | Allergy & Immunology | No | 174470-1 | NY |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | ME112011 | FL |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | No | 174470 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mark Ballow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00010009301 | Other | | UNIVERA |
| 000510824001 | Other | | BC/BS |
| 008130000 | MEDICAID | FL | |
| 0207420 | Other | | IHA |
| 040426000993 | Other | | FIDELIS |
| 14P6J | Other | FL | BLUE CROSS BLUE SHIELD |
| 0011295550001 | MEDICAID | PA | |
| 01084606 | MEDICAID | NY | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | mballow91460@direct.tgh.org
| No affiliation |
|
| 2 TAMPA GENERAL CIR, STC 5TH FLOOR
TAMPA, FL, 33606-3603
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 917770
Orlando, FL, 32891-0001
United States |
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| Phone Number : | 813-974-2201 |
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| Fax Number : | 813-974-2812 |
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Business Location:
Patients can refer following map for directions to
Mark Ballow practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.