NPIMap

Organization Active NPI

Baycare Medical Group Inc

  • Surgery Physician
  • Winter Haven, FL
National Provider Identifier
1508436544
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BAYCARE MEDICAL GROUP INC
Practice address
Gastroenterology at Winter Haven
199 Avenue B NW Ste 310
Winter Haven, FL 33881-4546
Phone
(863) 292-4124
Fax
(863) 229-7568
NPI assigned
Jul 1, 2021
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Lynda Gorken
Title
VP, PFS
Phone
(727) 281-9202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

Gastroenterology at Winter Haven
199 Avenue B NW Ste 310
Winter Haven, FL 33881-4546

Mailing address

2995 Drew St FL 3
Clearwater, FL 33759-3012

Other names 1

  • General Surgery at Winter Haven Other name

National Provider Directory

National Provider Directory
Tax ID family
Morton Plant Family Car202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1508436544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GASTROENTEROLOGY AT WINTER HAVEN",
            "address_2": "199 AVENUE B NW STE 310",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814546",
            "telephone_number": "863-292-4124",
            "fax_number": "863-229-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "VP, PFS",
        "authorized_official_telephone_number": "727-281-9202"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Surgery at Winter Haven",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "General Surgery at Winter Haven",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.