NPIMap

Organization Active NPI

St. Joseph's Hospital, Inc.

Doing business as St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
National Provider Identifier
1346519816
Registry record updated Nov 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4292 Issued in FL
Legal business name
ST. JOSEPH'S HOSPITAL, INC.
Doing business as
St. Joseph's Women's Hospital
Practice address
3030 W. Dr. MLK Jr Blvd
Tampa, FL 33607-6307
Phone
(813) 870-4000
Fax
(813) 870-4639
NPI assigned
Dec 29, 2011
Last updated
Nov 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. JOSEPH'S HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2019

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

Authorized official

Name
Mrs. Lynda Gorken
Title
VP, Patient Financial Services
Phone
(727) 281-9479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4292 FL Primary

Addresses

Primary practice location

3030 W. Dr. MLK Jr Blvd
Tampa, FL 33607-6307

Mailing address

3001 W Dr MLK Jr. Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000

Other identifiers 1

IdentifierTypeStateIssuer
FL0100978-02MedicaidFL

Other names 1

  • St. Joseph's Women's Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061205000100 FL Part A Provider - Hospital 1658274287 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL; St Petersburg, FL; Clearwater, FL; Safety Harbor, FL; Riverview, FL; Lutz, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1346519816. Details of each certification follow.

Hospital certification: CCN 100075

Legal name
ST. JOSEPH'S HOSPITAL, INC.
Doing business as
ST JOSEPH'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 19, 2021
Beds
1,367
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jun 28, 1963 in FL
Enrollment address
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 100227

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ST JOSEPH'S WOMEN'S HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jul 1, 1994
Provider type (POS)
Hospital – Short-term
Participating since
Nov 3, 1974
Last certification
Jan 29, 1991
Beds
219
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 1994 (2 total)
Facility address
3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Josephs HospitalCCN 100075 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Joseph's Hospital Inc13 organizations share this tax ID, including this one
Part of
St Joseph's Hospital Inc

Other organizations with this tax ID 12

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

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)

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kimberly Guy Individual Corporate Director Feb 28, 2019
Operational/Managerial Control Oct 14, 2022
Sean M Butler Individual Corporate Director Feb 28, 2019
Patricia Shirley Individual Corporate Director Feb 28, 2019
Tracy L Halme Individual Corporate Director Jan 1, 2016
Douglas McFadden Individual Corporate Director Jan 1, 2016
Rena Jade Upshaw-Frazier Individual Corporate Director Feb 28, 2019
Lauren Gayle Weiner Individual Corporate Director Feb 28, 2019
Stephanie D Conners Individual Operational/Managerial ControlPres/Ceo, Baycare Health System Oct 17, 2022
Jennifer Brown King Individual Corporate Director Feb 28, 2019
Dipawali Shah Individual Corporate Director Feb 28, 2019
Michael Colletti Individual W-2 Managing EmployeeMGR Revenue Reporting Reimbursement Feb 3, 2026
Lori McGinnes Yarbrugh Individual Corporate Director Feb 28, 2019
Maureen Avril Chin Fatt Individual Corporate Director Feb 28, 2019
Rafael Garcia Individual Corporate Director Jan 1, 2016
Janice Sue Polo Individual Operational/Managerial ControlEvp,Cfo Baycare Health System Feb 26, 2017
Stephen Karl Mendoza Individual Corporate Director Feb 28, 2019
Baycare Health System, Inc. Organization, Clearwater, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Jerilyn Hattendorf Reed Individual Corporate Director Feb 28, 2019
Yvonne M. Fry Individual Corporate Director Feb 1, 2021
Rich Glorioso Individual Corporate Director Jan 1, 2016
Donna L. Jordan Individual Corporate Director Feb 1, 2021
Matthew Charles Rice Individual Corporate Director Feb 28, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 2,602

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,602

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574467200000",
    "number": "1346519816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W DR MLK JR. BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4000",
            "fax_number": "813-870-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W. DR. MLK JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4000",
            "fax_number": "813-870-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH'S HOSPITAL, INC.",
        "enumeration_date": "2011-12-29",
        "last_updated": "2019-11-23",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "VP, PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "727-281-9479",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FL0100978-02",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Women's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph's Women's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.