LARGO SURGERY LLC (NPI# 1831195379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831195379 |
| Entity Type | Organization |
| Organization Name | LARGO SURGERY LLC |
| Other Organization Name | WEST BAY SURGERY CENTER |
| Practice Address |
1401 W Bay Dr Largo FL 33770-2207 |
| Practice Telephone | 7275859500 |
| Practice Fax Number | 7275841938 |
| Mailing Telephone | 7275859500 |
| Mailing Fax Number | 7275841938 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED) |
| Authorized Official Telephone | 6152345924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 800005342 | FL | Laboratories |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
781 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 0771519008 | 01 | |
| FL | 070644200 | 05 | |
| FL | BLUE CROSS/BLUE SHIELD | 691 | 01 |
| Other Name | Type Code |
|---|---|
| West Bay Surgery Center | Doing Business As Name - Organization |
| Street Address |
1401 W BAY DR |
| City | LARGO |
| State | FL |
| Zip Code | 33770-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215332523 | Bay Area Professional Anesthesia LLC | Anesthesiology | 1401 W Bay Dr, Largo, FL 33770-2207 | 2014-10-29 |
| 1831517440 | Gulf Coast Professional Anesthesia Associates LLC | Anesthesiology | 1401 W Bay Dr, Largo, FL 33770-2207 | 2014-04-01 |
| 1821070293 | Richard L Nutt Jr. | Anesthesiology | 1401 W Bay Dr, Largo, FL 33770-2207 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730500935 | Bardmoor Surgery Center LLC | Clinic/Center | 8787 Bryan Dairy Rd Ste 300, Largo, FL 33777-1252 | 2013-12-16 |
| 1881905792 | Surgcenter Pinellas, LLC | Clinic/Center | 12416 66th St N, Ste D, Largo, FL 33773-3430 | 2010-06-24 |
| 1336100189 | St Michaels Surgery Center Inc. | Clinic/Center | 1018 W Bay Dr, Largo, FL 33770-3225 | 2006-03-31 |
| 1366781700 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinic/Center | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2013-02-05 |
| 1366710741 | Eye Physicians of Pinellas, Pa | Clinic/Center | 148 13th St Sw, Largo, FL 33770-3127 | 2011-12-13 |
| 1598927147 | Morton Plant Mease Health Services Inc | Clinic/Center | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 | 2008-06-25 |
| 1265522478 | Landover Ambulatory Surgery, Lp | Clinic/Center | 1300 Mercantile Ln, Suite 190, Largo, MD 20774-5327 | 2006-10-16 |
| 1184621864 | Largo Ambulatory Surgery Center LLC | Clinic/Center | 148 13th St Sw, Largo, FL 33770-3127 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.