Active NPI
Morton Plant Mease Health Services Inc
- Diagnostic Radiology Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MORTON PLANT MEASE HEALTH SERVICES INC
- Practice address
- 8787 Bryan Dairy Rd
Largo, FL 33777-1251 - Phone
- (727) 394-5900
- NPI assigned
- Nov 11, 2005
- 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
- Lynda Gorken
- Title
- Vice President
- Phone
- (727) 281-9202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
8787 Bryan Dairy Rd
Largo, FL 33777-1251
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-6974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063659204 | Medicaid | FL |
Other names 2
- BOI BARDMOOR
- BayCare Outpatient Imaging
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000883 | FL | Part B Supplier - Clinic/Group Practice | 2163336777 |
Receives reassigned benefits from 149 practitioners 4 other NPIs on this 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.
-
- Diagnostic Radiology Physician
- Safety Harbor, FL
- NPI 1316576705
O20040115000883
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1760773550
O20040115000883
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1730470311
O20040115000883
-
- Diagnostic Radiology Physician
- Trinity, FL
- NPI 1780665125
O20040115000883
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2086627 | Baycare Outpatient Imaging Bardmoor | Certificate of waiver | Nov 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
400 Pinellas St
Ste 101
Clearwater, FL 33756
Phone (727) 462-7514
3890 Tampa Rd
Palm Harbor, FL 34684
Phone (813) 781-3164
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 151
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1558351320
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1407894421
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1598260341
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1164833117
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1063466183
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1831189521
Diagnostic Radiology, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1528049962",
"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": "8787 BRYAN DAIRY RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337771251",
"telephone_number": "727-394-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORTON PLANT MEASE HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-11",
"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 SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063659204",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BOI BARDMOOR",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BayCare Outpatient Imaging",
"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 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.
- 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.