Largo Endoscopy Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1184 Issued in FL

Legal business name

LARGO ENDOSCOPY CENTER LP

Doing business as

Tampa Bay Regional Surgery Center

Practice address

7300 Bryan Dairy Road
Suite 495
Largo, FL 33777

Phone

(727) 451-6780

Fax

(727) 451-6799

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Nora Striffolino

Title

Administrator

Phone

(727) 451-6780

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tampa Bay Regional Surgery Center Doing business as

Listed as

Largo Endoscopy Center LPCCN 10C0001405

Medicare certification status

ActiveFrom the Provider of Services file

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc A Kudelko, D.O.

  • Gastroenterology Physician
  • Largo, FL
  • NPI 1881788768
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1063417285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 BRYAN DAIRY ROAD",
            "address_2": "SUITE 495",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33777",
            "telephone_number": "727-451-6780",
            "fax_number": "727-451-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 BRYAN DAIRY ROAD",
            "address_2": "SUITE 495",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33777",
            "telephone_number": "727-451-6780",
            "fax_number": "727-451-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARGO ENDOSCOPY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "STRIFFOLINO",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-451-6780"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "1184",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULATORY SURGERY CENTER",
            "identifier": "1184",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Regional Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tampa Bay Regional Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Largo Ambulatory Surgery Center LLC
• Largo Anesthesia Associates
• Largo Ca . LLC
• Largo Clinic LLC
• Largo Dental One PA
• Largo Family Eye Care
• Largo Health Care Associates LLC
• Largo Investments & Associates
• Largo Investments and Associates LLC
• Largo Lung Associates Inc

• Ambulatory Surgical Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.