Organization Active NPI

Baycare Medical Group, Inc.

  • General Practice Physician
  • Clearwater, FL
National Provider Identifier
1043269871
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BAYCARE MEDICAL GROUP, INC.
Practice address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone
(727) 281-9065
NPI assigned
May 9, 2006
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Ms. Lynda A. Gorken
Title
VP, PFS
Phone
(727) 281-9390

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Clinical Psychologist 103TC0700X
Registered Dietitian 133V00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Neurological Surgery Physician 207T00000X
Obstetrics & Gynecology Physician 207V00000X
Neurology Physician 2084N0400X
Surgery Physician 208600000X
Vascular Surgery Physician 2086S0129X
General Practice Physician 208D00000X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

Addresses

Primary practice location

2995 Drew St FL 2
Clearwater, FL 33759-3012

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 281-9065

Other identifiers 3

IdentifierTypeStateIssuer
263650601MedicaidFL
CA1847OtherFLRAILROAD MEDICARE GR NO
263650600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000718 FL Part B Supplier - Clinic/Group Practice 6406753623 Receives reassigned benefits from 2,106 practitioners
2 other NPIs on this enrollment

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations (25 of 148)

901 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 636-2517

401 Corbett St
#210220
Belleair, FL 33756

873 E Bloomingdale Ave
Brandon, FL 33511
Phone (813) 643-8300

873 E Bloomingdale Ave
Ste 615
Brandon, FL 33511

1000 Lakeview Rd
Ste 7
Clearwater, FL 33756

1007 Jeffords St
Ste 101
Clearwater, FL 33756
Phone (727) 442-5123

2350 Sunset Point Rd
Clearwater, FL 33765
Phone (727) 301-5688

2350 Sunset Point Rd
Ste C
Clearwater, FL 33765
Phone (727) 797-3155

2424 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 799-6255

2531 Landmark Dr
Ste 103
Clearwater, FL 33761
Phone (727) 599-0893

2555 Enterprise Rd
Ste 14
Clearwater, FL 33763

2605 Enterprise Rd E
Clearwater, FL 33759

2605 Enterprise Rd E
Ste 100
Clearwater, FL 33759
Phone (727) 796-4396

2995 Drew St
Bldg 2
Clearwater, FL 33759

300 Jeffords St
Ste C
Clearwater, FL 33756
Phone (727) 446-4506

300 Park Place Blvd
Clearwater, FL 33759

300 Park Place Blvd
Ste 170
Clearwater, FL 33759

300 Park Place Blvd
Ste 180
Clearwater, FL 33759
Phone (866) 750-3373

300 Pinellas St
#44
Clearwater, FL 33756
Phone (727) 461-8231

300 Pinellas St
Ste MS44
Clearwater, FL 33756

300 Pinellas St
Stop 47
Clearwater, FL 33756

303 Pinellas St
Clearwater, FL 33756
Phone (727) 298-6670

303 Pinellas St
Ste 230
Clearwater, FL 33756
Phone (727) 442-4188

303 Pinellas St
Ste 240
Clearwater, FL 33756

3251 N McMullen Booth Rd
Ste 103
Clearwater, FL 33761
Phone (727) 725-1003

Practitioners & affiliated clinicians

Practitioners 2,167

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 2,167

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1043269871",
    "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": "727-281-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-281-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP, PFS",
        "authorized_official_telephone_number": "727-281-9390",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263650601",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GR NO",
            "identifier": "CA1847",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263650600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.