Organization Active NPI

Morton Plant Mease Health Services Inc

Doing business as Bardmoor Outpatient Center

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
National Provider Identifier
1598927147
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MORTON PLANT MEASE HEALTH SERVICES INC
Doing business as
Bardmoor Outpatient Center
Practice address
8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone
(727) 394-5119
NPI assigned
Jun 25, 2008
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Tambyn Cubero
Title
Manager
Phone
(727) 281-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU 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
07-0519500MedicaidFL

Other names 1

  • Bardmoor Outpatient Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1598927147",
    "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": "813-852-3233"
        },
        {
            "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": "727-394-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON PLANT MEASE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "CUBERO",
        "authorized_official_first_name": "TAMBYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-281-9390"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07-0519500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bardmoor Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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 Jan 16, 2019; 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.