Active NPI
Morton Plant Health Services Inc
Doing business as Bardmoor Outpatient Center
- Specialist
- Largo, FL
National Provider Identifier
1245494616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0636592-04 | Medicaid | FL |
Other names 1
- Bardmoor Outpatient Center
National Provider Directory
National Provider Directory- Tax ID family
- Morton Plant East Lake
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Baycare Outpatient Imaging
- Diagnostic Radiology Physician
- Trinity, FL
- NPI 1114315231
-
dba Carlisle Imaging Center
- Specialist
- Clearwater, FL
- NPI 1174504518
-
dba MP Women's Imaging Center
- Cardiovascular Specialist/Technologist
- Clearwater, FL
- NPI 1578546776
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
- Countess Morris, RBT
- Derek Morris, OD
- Kara Mae Morris, PA-C
- Lisa Morris
- Souleika Morris
- Morton Plant Health Services Inc (Bardmoor Rehab Services)
- Morton Plant Mease Health Services Inc (Boi Bardmoor)
- Morton Plant Mease Health Services Inc (Bardmoor Outpatient Center)
- Jeffrey Marc Moscow, D.C.
- Bertishia Lashanti Mosley, CNA
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.