MARK BALLOW MD NPI 1184660821

NPI Information

NPI: 1184660821
Provider Name: MARK BALLOW, MD
Classification: Pediatrics - 2080P0201X
Entity Type: Individual

Specialization: Pediatric Allergy/Immunology

PECOS Registration: Yes

Address:
2 TAMPA GENERAL CIR
STC 5TH FLOOR
TAMPA, FL
ZIP 33606
Phone: (727) 767-4150
Get Directions

Mark Ballow, MD is a pediatric allergy/immunology pediatrics in Tampa, FL with 55 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Mark Ballow, MD NPI is 1184660821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:1969

The provider's business location address is:

2 TAMPA GENERAL CIR
STC 5TH FLOOR
TAMPA, FL
ZIP 33606-603
Phone: (727) 767-4150
Fax: (727) 767-8532

The NPI 1184660821 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 10/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207K00000X	Allergy & Immunology		174470-1	NEW YORK	No
2	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	ME112011	FLORIDA	Yes
3	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	174470	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00010009301	OTHER		UNIVERA
2	000510824001	OTHER		BC/BS
3	008130000	MEDICAID	FLORIDA
4	0207420	OTHER		IHA
5	040426000993	OTHER		FIDELIS
6	14P6J	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
7	0011295550001	MEDICAID	PENNSYLVANIA
8	01084606	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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