P Mark Glencross, MD MPH PA

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

ME56612 Issued in FL

Practice address

3665 E Bay Dr Ste 204-22
Largo, FL 33771-1990

Phone

(979) 393-0161

Fax

(866) 548-6451

NPI assigned

Jul 22, 2005

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: pglencross253289@direct.tgh.org
• Direct secure messaging: philip.glencross.1@14940.direct.athenahealth.com

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

• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1427058205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 WESTHEIMER RD",
            "address_2": "#312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575641",
            "telephone_number": "904-476-1723",
            "fax_number": "866-548-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 E BAY DR STE 204-22",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711990",
            "telephone_number": "979-393-0161",
            "fax_number": "866-548-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENCROSS",
        "first_name": "P",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD MPH PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME56612",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N9706",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME56612",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "N9706",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME56612",
            "primary": true
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "FL",
            "license": "ME56612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@uohpartners.com",
            "affiliation": "N",
            "address_1": "3665 E Bay Dr Ste 204-22",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337711990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wagih Girgis
• Miranda Giusti, D.O.
• Laura Given, M.D.
• Eugenia Diana Glaros
• Glass Inpatient Services LLC
• Glenda's Perfect Fit Inc. (A Perfect Fit,)
• Kayla Lorin Glenn
• Taylor Glover
• Ema Kathryn Davis Glowaski, AUD
• GN Hearing Care Corp (Beltone Elecrtonics)

• Occupational Medicine Physician in Largo, FL
• Providers in Largo, FL by specialty
• Occupational Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.