NPIMap

Organization Active NPI

Baycare Urgent Care, LLC

  • General Practice Physician
  • New Port Richey, FL
National Provider Identifier
1629514070
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BAYCARE URGENT CARE, LLC
Practice address
4821 US Highway 19 Ste 5
New Port Richey, FL 34652-4259
Phone
(727) 807-7176
Fax
(727) 266-4936
NPI assigned
Jan 10, 2017
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Mrs. Lynda A Gorken
Title
VP, PFS
Phone
(813) 852-3304

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Family Medicine Physician 207Q00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

4821 US Highway 19 Ste 5
New Port Richey, FL 34652-4259

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 281-9390

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051010000665 FL Part B Supplier - Clinic/Group Practice 6103841051 Receives reassigned benefits from 151 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL; Winter Haven, FL; Valrico, FL; St Petersburg, FL; St Pete Beach, FL; Riverview, FL; Plant City, FL; New Port Richey, FL…

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3351 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 314-4774

711 S Belcher Rd
Clearwater, FL 33764
Phone (727) 223-3322

13670 Walsingham Rd
Largo, FL 33774
Phone (727) 593-9848

10125 Big Bend Rd
Riverview, FL 33578
Phone (813) 605-3200

8711 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 394-5700

1155 S Dale Mabry Hwy
Tampa, FL 33629
Phone (813) 609-3666

11921 N Dale Mabry Hwy
Ste 7
Tampa, FL 33618
Phone (813) 609-3635

17512 Dona Michelle Dr
Tampa, FL 33647
Phone (813) 533-3494

2442 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 586-8686

Practitioners & affiliated clinicians

Practitioners 133

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 133

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1629514070",
    "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": "727-281-9390",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 US HIGHWAY 19 STE 5",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524259",
            "telephone_number": "727-807-7176",
            "fax_number": "727-266-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "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": "813-852-3304",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.