Active NPI
Baycare Medical Group Inc
- Family Medicine Physician
- St Petersburg, FL
National Provider Identifier
1154770667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BAYCARE MEDICAL GROUP INC
- Practice address
- 116 1St St N
St Petersburg, FL 33701-3305 - Phone
- (727) 895-5210
- NPI assigned
- Jun 6, 2016
- Organization subpart
- No
NPPES NPI Registry
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, Patient Financial Services
- Phone
- (727) 532-1355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
116 1St St N
St Petersburg, FL 33701-3305
Mailing address
PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1154770667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10744",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337578744",
"telephone_number": "727-532-0002",
"fax_number": "727-266-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 1ST ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013305",
"telephone_number": "727-895-5210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYCARE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-06",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "GORKEN",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VP, PATIENT FINANCIAL SERVICES",
"authorized_official_telephone_number": "727-532-1355",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.