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Mark Ballow

  • Male

Medical Specialty

Professional ID

  • NPI: 1184660821
  • PECOS ID: 3476447665
  • Enrollment ID: I20130102000207
  • Credential(MD, DO, DPM): MD
  • Medical School: University Of Chicago Pritzker School Of Medicine
  • Medical School Graduation Year: 1969

Hospital Service

  • Hospital CCN1: 100087
  • Business Name (LBN)1: Sarasota Memorial Hospital

Medical Practices

  • Organization Name: Hugh H Windom Md Pa
  • Group Practice ID assigned by PECOS: 1658558176
  • Number of Group Practice member: 4

Location

  • Address1: 3570 S Tuttle Ave
  • Address2:
  • City: Sarasota
  • State: Florida
  • Zip Code: 34239
  • Phone Number: (941)927-4888

Medical Practices

  • Organization Name: University Medical Service Association Inc
  • Group Practice ID assigned by PECOS: 6800790221
  • Number of Group Practice member: 532

Location

  • Address1: 12901 Bruce B Downs Blvd
  • Address2:
  • City: Tampa
  • State: Florida
  • Zip Code: 33612
  • Phone Number: (813)974-2201

Location

Location

  • Address1: 601 5th St S
  • Address2: Ach Outpatient Care Center
  • City: Saint Petersburg
  • State: Florida
  • Zip Code: 33701
  • Phone Number: (727)898-7451

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):