NPIMap

Individual provider Active NPI

Glenda Ferguson Parker, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1760521132
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME106783 Issued in FL
Practice address
3615 W Hamilton Ave
Tampa, FL 33614-4055
Phone
(813) 977-0281
Fax
(813) 977-0536
NPI assigned
Feb 5, 2007
Last updated
Feb 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME106783 FL Primary
Internal Medicine Physician 207R00000X D0066393 MD

Addresses

Primary practice location

3615 W Hamilton Ave
Tampa, FL 33614-4055

Mailing address

3615 W Hamilton Ave
Tampa, FL 33614-4055
Phone (813) 977-0281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001328 FL Practitioner - Internal Medicine 3779679311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

14310 N Dale Mabry Hwy
Suite 305
Tampa, FL 33618-2059
Phone (813) 615-7028

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0066393MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Jan 27, 2014 Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

14310 N Dale Mabry Hwy
Ste 305
Tampa, FL 33618
Phone (813) 615-7028

3615 W Hamilton Ave
Tampa, FL 33614
Phone (813) 977-0281

Interoperability endpoints

  • Direct secure messaging: gparker73417@adventhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1760521132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 W HAMILTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144055",
            "telephone_number": "813-977-0281",
            "fax_number": "813-977-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W HAMILTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144055",
            "telephone_number": "813-977-0281",
            "fax_number": "813-977-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "GLENDA",
        "middle_name": "FERGUSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106783",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.