Organization Active NPI

Morton Plant Health Services Inc

Doing business as Bardmoor Outpatient Center

  • Specialist
  • Largo, FL
National Provider Identifier
1245494616
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MORTON PLANT HEALTH SERVICES INC
Doing business as
Bardmoor Outpatient Center
Practice address
8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone
(727) 394-5900
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
John Couris
Title
VP Operations
Phone
(727) 462-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

8787 Bryan Dairy Rd
Largo, FL 33777-1251

Mailing address

PO Box 404841
Atlanta, GA 30384-4841
Phone (813) 852-3272

Other identifiers 1

IdentifierTypeStateIssuer
0636592-04MedicaidFL

Other names 1

  • Bardmoor Outpatient Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morton Plant East Lake5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1245494616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404841",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844841",
            "telephone_number": "813-852-3272",
            "fax_number": "813-852-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771251",
            "telephone_number": "727-394-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON PLANT HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "COURIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "727-462-7746"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0636592-04",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bardmoor Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.