NPIMap

Organization Active NPI

Morton Plant Mease Health Services Inc

Doing business as Boi Countryside

  • Diagnostic Radiology Physician
  • Safety Harbor, FL
National Provider Identifier
1316576705
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MORTON PLANT MEASE HEALTH SERVICES INC
Doing business as
Boi Countryside
Practice address
1840 Mease Dr Ste 103
Safety Harbor, FL 34695-6603
Phone
(727) 725-6463
NPI assigned
Apr 7, 2020
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MORTON PLANT MEASE HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Lynda Gorken
Title
Vice President
Phone
(727) 281-9202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1840 Mease Dr Ste 103
Safety Harbor, FL 34695-6603

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-6974

Other names 1

  • BOI COUNTRYSIDE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000883 FL Part B Supplier - Clinic/Group Practice 2163336777 Receives reassigned benefits from 149 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Largo, FL; Trinity, FL; Safety Harbor, FL; Palm Harbor, FL; Clearwater, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Morton Plant Mease Health Services Inc

Locations

27001 US Highway 19 N
Ste 8280
Clearwater, FL 33761
Phone (727) 796-2056

Practitioners & affiliated clinicians

Practitioners 126

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1316576705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-6974",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR STE 103",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956603",
            "telephone_number": "727-725-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON PLANT MEASE HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORTON PLANT MEASE HEALTH SERVICES, INC",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-281-9202"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOI COUNTRYSIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.