Active NPI
Glenn Syperda, DO
- Pain Medicine (Anesthesiology) Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- OS4956
- Practice address
- 7171 N Dale Mabry Hwy
Tampa, FL 33614-2630 - Phone
- (352) 867-8898
- Fax
- (352) 732-6282
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS4956 | FL | Primary |
Addresses
Primary practice location
7171 N Dale Mabry Hwy
Tampa, FL 33614-2630
Mailing address
PO Box 862810
Orlando, FL 32886-2810
Phone (352) 867-8898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82788 | Other | FL | BLUE CROSS BLUE SHIELD |
| 271835900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Witmer Rd
Suite 220
Horsham, PA 19044-2279
18167 US Hwy 19 N
Suite 650
Clearwater, FL 33764-3528
Perioperative Services LLC 111 Continental Dr
Suite 412
Newark, DE 19713-4332
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pinellas Anesthesia Associates, PA | Pain Medicine | Current | Accepting new patients |
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Pain Medicine | Past | Accepting new patients |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients | |
| Providence Physician Group Inc | Past | Accepting new patients |
Locations
3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800
7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1104879816
Pain Medicine
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
Pain Medicine
-
- Certified Registered Nurse Anesthetist
- Muskogee, OK
- NPI 1861436636
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891888756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 862810",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328862810",
"telephone_number": "352-867-8898",
"fax_number": "352-732-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142630",
"telephone_number": "352-867-8898",
"fax_number": "352-732-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYPERDA",
"first_name": "GLENN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "OS4956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82788",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271835900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 8, 2007; 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.