NPIMap

Organization Active NPI

Glaum & Cho M.D.S, P.a.

Doing business as Allergy, Asthma, and Immunology Associates of Tampa Bay

  • Allergy & Immunology Physician
  • Tampa, FL
National Provider Identifier
1588649263
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME0019662 Issued in FL
Legal business name
GLAUM & CHO M.D.S, P.A.
Doing business as
Allergy, Asthma, and Immunology Associates of Tampa Bay
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Mark C Glaum, M.D.NPI 1073598744
Title
President
Phone
(813) 971-9743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X ME0019662 FL Primary

Addresses

Primary practice location

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

Mailing address

13801 Bruce B Downs Blvd
Suite 502
Tampa, FL 33613-3946
Phone (813) 971-9743

Other names 1

  • Allergy, Asthma, and Immunology Associates of Tampa Bay Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408000154 FL Part B Supplier - Clinic/Group Practice 6103819610 Receives reassigned benefits from 8 practitioners
Practice locations: Spring Hill, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

11333 Cortez Blvd
Ste 303
Brooksville, FL 34613

1906 W Platt St
Tampa, FL 33606
Phone (813) 463-8355

6537 Gunn Hwy
Tampa, FL 33625
Phone (813) 466-7730

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1588649263",
    "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": {
        "organization_name": "GLAUM & CHO M.D.S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "GLAUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-971-9743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0019662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy, Asthma, and Immunology Associates of Tampa Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.