MARK BALLOW (NPI# 1184660821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184660821 |
| Entity Type | Individual |
| Full Name | MARK BALLOW |
| Credential | MD |
| Practice Address |
2 Tampa General Cir Stc 5th Floor Tampa FL 33606-3603 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 7277674150 |
| Practice Fax Number | 7277678532 |
| Mailing Telephone | 8139742201 |
| Mailing Fax Number | 8139742812 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 174470-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
ME112011 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
174470 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNIVERA | 00010009301 | 01 | |
| BC/BS | 000510824001 | 01 | |
| FL | 008130000 | 05 | |
| IHA | 0207420 | 01 | |
| FIDELIS | 040426000993 | 01 | |
| FL | BLUE CROSS BLUE SHIELD | 14P6J | 01 |
| PA | 0011295550001 | 05 | |
| NY | 01084606 | 05 |
| Street Address |
2 TAMPA GENERAL CIR STC 5TH FLOOR |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889516 | Anthony O Odibo | Obstetrics & Gynecology | 2 Tampa General Cir, Stc 4th Floor, Tampa, FL 33606-3603 | 2005-05-24 |
| 1215545819 | Corinne Ann Rheinlander | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2020-07-20 |
| 1558993659 | Ali Mohammad Sobh | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2020-02-06 |
| 1689210932 | Andrew William Armstrong | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-11-21 |
| 1366008831 | Reka Dora Muller | Genetic Counselor, MS | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-05-10 |
| 1578026845 | Julie-ann Carmichael | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-04-12 |
| 1891253894 | Susana Lizette Soto-rodriguez | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-03-08 |
| 1639637259 | Amy Kelley Reinke | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-03-04 |
| 1144703638 | Kara Morgan | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2018-09-11 |
| 1346729761 | Anna Laura Strang | Genetic Counselor, MS | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548607757 | David Squier Lindsay II | Pediatrics | 12901 Bruce B Downs Blvd, #3130, Tampa, FL 33612-4742 | 2013-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790076115 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403 | 2011-04-20 |
| 1053322586 | Hary T. Katz | Pediatrics | 4123 University Blvd. S., Suite B, Jacksonville, FL 32216 | 2006-08-10 |
| 1427609080 | University of Miami | Pediatrics | 1580 Nw 10th Ave Fl 1, Miami, FL 33136-1013 | 2019-09-25 |
| 1598185480 | Camile Ortega | Pediatrics | 16371 Nw 67th Ave, Miami Lakes, FL 33014-6044 | 2014-04-18 |
| 1225393556 | Grace Toledo Padron | Pediatrics | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2012-07-12 |
| 1598058166 | Shajitha Melethil | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2011-05-16 |
| 1538303631 | Amy Sarah Feldman | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-04-21 |
| 1134394596 | Sthorn Thatayatikom | Pediatrics | 1600 Sw Archer Rd, Box 100371, Gainesville, FL 32610-0296 | 2008-04-28 |
| 1437349339 | American Medicine, Inc. | Pediatrics | 817 S University Dr, Suite 106, Plantation, FL 33324-3309 | 2007-07-26 |
| 1225117138 | Ilene Joy Goldstein | Pediatrics | 10301 Hagen Ranch Rd Ste 760, Boynton Beach, FL 33437-3777 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.