Bardmoor Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BARDMOOR SURGERY CENTER LLC

Doing business as

Bardmoor Surgery Center

Practice address

8787 Bryan Dairy Rd Ste 300
Largo, FL 33777-1252

Phone

(727) 394-5900

Fax

(727) 394-5333

NPI assigned

Dec 16, 2013

Last updated

Feb 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

BAYCARE HEALTH SYSTEM, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Donna St. Louis

Title

Director

Phone

(727) 394-6747

Specialties & licenses 1

Addresses

Other names 1

• Bardmoor Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Bardmoor Surgery Center LLCCCN 10C0001304

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Baycare Health Systems Inc

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a01cc5e9-1755-468c-b41c-495a18dec39f/

Practitioners 1

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.

• Jonathan Radin, MD

  • Anesthesiology Physician
  • Largo, FL
  • NPI 1295747749
  NPD (past)

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1730500935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771252",
            "telephone_number": "727-394-5900",
            "fax_number": "727-394-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771252",
            "telephone_number": "727-394-5900",
            "fax_number": "727-394-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDMOOR SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYCARE HEALTH SYSTEM, INC.",
        "enumeration_date": "2013-12-16",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "ST. LOUIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-394-6747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bardmoor Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine M Barber, PA-C
• Jalonne Barber
• Tiffany Barber, APRN
• Bardmoor Cancer Center LLC
• Bardmoor Chiropractic Center Inc (Florida Health and Wellness Centers)
• Paul Barger, MA LMHC
• Steven Michael Barker
• Nicole Barkley
• Kalah Barlow
• Eric A Barnes, DPT

• Ambulatory Surgical Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.

Verify at the official NPI Registry.