NPIMap

Organization Active NPI

Trustees of Mease Hospital, Inc

Doing business as Professional Billing MCH

  • Family Medicine Physician
  • Safety Harbor, FL
National Provider Identifier
1063204758
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRUSTEES OF MEASE HOSPITAL, INC
Doing business as
Professional Billing MCH
Practice address
3231 McMullen Booth Rd FL 1
Safety Harbor, FL 34695-6607
Phone
(727) 725-6111
Fax
(813) 635-2613
NPI assigned
May 20, 2025
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUSTEES OF MEASE HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3231 McMullen Booth Rd FL 1
Safety Harbor, FL 34695-6607

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-6974

Other names 1

  • PROFESSIONAL BILLING MCH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000339 FL Part B Supplier - Clinic/Group Practice 1355392044 Receives reassigned benefits from 25 practitioners
Practice locations: Safety Harbor, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Outpatient Billing - MH3 organizations share this tax ID, including this one
Part of
Outpatient Billing - MH

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34718 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 772-2200

12780 Race Track Rd
Tampa, FL 33626
Phone (813) 635-2110

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1063204758",
    "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": "3231 MCMULLEN BOOTH RD FL 1",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956607",
            "telephone_number": "727-725-6111",
            "fax_number": "813-635-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF MEASE HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF MEASE HOSPITAL, INC",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL BILLING MCH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROFESSIONAL BILLING MCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.