NPIMap

Organization Active NPI

Baycare Medical Group Inc

  • Hepatology Physician
  • Clearwater, FL
National Provider Identifier
1710558499
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
Legal business name
BAYCARE MEDICAL GROUP INC
Practice address
2424 Enterprise Rd Ste C
Clearwater, FL 33763-1704
Phone
(727) 879-2010
NPI assigned
Jul 5, 2021
Last updated
Jul 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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
Hepatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0008X Primary

Addresses

Primary practice location

2424 Enterprise Rd Ste C
Clearwater, FL 33763-1704

Mailing address

2995 Drew St FL 3
Clearwater, FL 33759-3012

Other names 1

  • Hepatobiliary Surgery at Clearwater Other name

National Provider Directory

National Provider Directory
Tax ID family
Mark Awhiting MD202 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

Locations

2424 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 799-6255

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1710558499",
    "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": "2424 ENTERPRISE RD STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631704",
            "telephone_number": "727-879-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "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": "207RI0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hepatobiliary Surgery at Clearwater",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 5, 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.

Verify at the official NPI Registry.