Mark C Glaum, M.D., PH.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME89482 Issued in FL

Practice address

13801 Bruce B Downs Blvd
Suite 502
Tampa, FL 33613-3946

Phone

(813) 971-9743

Fax

(813) 558-9421

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lockey Fox Ledford and Glaum MDS PAGroup PAC ID 6103819610, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mglaum8902@direct.tgh.org
• FHIR API: https://fhir4.healow.com/fhir/r4/BDFECD/Endpoint/BDFECD
• Direct secure messaging: mark.glaum@direct.moffitt.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glaum & Cho M.D.S, P.a.

  • Allergy & Immunology Physician
  • Tampa, FL
  • NPI 1588649263
  Medicare reassignment Care Compare group NPD Authorized official
• University Medical Service Association Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1992742324
  Medicare reassignment NPD
• H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc

  • Hematology & Oncology Physician
  • Tampa, FL
  • NPI 1306833595
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• University Medical Service Association Inc

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
  • NPI 1194276576
  NPD
• University Medical Service Association Inc

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1245270164

  Allergy & Immunology

  NPD
• Advanced Podiatry PA

  • Foot Surgery Podiatrist
  • Tampa, FL
  • NPI 1982756706
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1073598744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 502",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-9743",
            "fax_number": "813-558-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 502",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-9743",
            "fax_number": "813-558-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUM",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME89482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis Frank Glass, MD
• Paul W Glass, O.D.
• Steven Glassberg, O.D.
• Toni Michelle Glatchak, ARNP
• Glaum & Cho M.D.S, P.a.
• Justice Glause
• Aarika Danielle Glawson, APRN
• Carolina M Gleason, MA
• Christie Anne Gleason, APRN
• Ladonna Gleason, PHD

• Allergy & Immunology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.