Active NPI
Baycare Medical Group, Inc
- Family Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BAYCARE MEDICAL GROUP, INC
- Practice address
- 2995 Drew Street
East BLDG 2ND Floor
Clearwater, FL 33759 - Phone
- (727) 532-1355
- NPI assigned
- Mar 21, 2016
- Last updated
- Jan 24, 2022
- 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, PFS
- Phone
- (727) 532-1355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2995 Drew Street
East BLDG 2ND Floor
Clearwater, FL 33759
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 281-9065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263650600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031216000718 | FL | Part B Supplier - Clinic/Group Practice | 6406753623 |
Receives reassigned benefits from 2,106 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
O20031216000718
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
2000 Osprey Blvd
Ste 205
Bartow, FL 33830
Phone (863) 519-1799
29750 US Highway 19 N
Ste 101
Clearwater, FL 33761
Phone (727) 467-2502
18600 Fernview St
Ste 102
Land O Lakes, FL 34638
Phone (813) 692-8033
12899 Walsingham Rd
Largo, FL 33774
Phone (727) 596-9490
4211 Van Dyke Rd
Ste 101
Lutz, FL 33558
Phone (813) 960-4026
10627 Rhodine Rd
Riverview, FL 33578
Phone (813) 605-3235
6901 Simmons Loop
Fl 4
Riverview, FL 33578
Phone (813) 302-8388
10799 Park Blvd
Seminole, FL 33772
Phone (727) 319-0180
1919 W Swann Ave
Fl 2
Tampa, FL 33606
Phone (813) 254-7078
4541 S Dale Mabry Hwy
Ste 100
Tampa, FL 33611
Phone (813) 533-7030
2102 Trinity Oaks Blvd
#202
Trinity, FL 34655
Phone (727) 315-6775
2529 Cypress Ridge Blvd
Wesley Chapel, FL 33544
Phone (813) 920-1800
200 Avenue F NE
Ste 9118
Winter Haven, FL 33881
Phone (863) 292-4004
Practitioners & affiliated clinicians
Practitioners 639
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.
-
- Anesthesiology Physician
- Clearwater, FL
- NPI 1265877088
-
- Hospitalist Physician
- Tampa, FL
- NPI 1083905640
-
- Family Medicine Physician
- Auburndale, FL
- NPI 1699268318
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1184611550
-
- Clinical Cardiac Electrophysiology Physician
- Tampa, FL
- NPI 1134410988
-
- Gerontology Nurse Practitioner
- Palmetto, FL
- NPI 1306319504
-
- Anesthesiologist Assistant
- Clearwater, FL
- NPI 1609605393
-
- Internal Medicine Physician
- Lutz, FL
- NPI 1407483712
-
- Cardiovascular Disease Physician
- Safety Harbor, FL
- NPI 1336643766
-
- Neurology Physician
- New Port Richey, FL
- NPI 1154989390
-
- Certified Registered Nurse Anesthetist
- Clearwater, FL
- NPI 1942066006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642982400000",
"number": "1497117329",
"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 STREET",
"address_2": "EAST BLDG 2ND FLOOR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33759",
"telephone_number": "727-532-1355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYCARE MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-21",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"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": "727-532-1355",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"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 24, 2022; 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.