NPIMap

Organization Active NPI

St Joseph's Hospital Inc

Doing business as Chronic Complex Clinic

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1740901578
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST JOSEPH'S HOSPITAL INC
Doing business as
Chronic Complex Clinic
Practice address
3003 W Dr Martin Luther King Jr Blvd FL 3
Tampa, FL 33607-6307
Phone
(813) 554-8097
Fax
(813) 554-8657
NPI assigned
Sep 9, 2022
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Lynda Gorken
Title
Vice President
Phone
(727) 281-9202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3003 W Dr Martin Luther King Jr Blvd FL 3
Tampa, FL 33607-6307

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-6974

Other names 1

  • CHRONIC COMPLEX CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230209001805 FL Part B Supplier - Clinic/Group Practice 1658274287 Receives reassigned benefits from 3 practitioners
Practice locations: Tampa, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

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

Other organizations with this tax ID 12

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

Locations

400 Pinellas St
Ste 240
Clearwater, FL 33756
Phone (727) 462-2128

1840 Mease Dr
Ste 201
Safety Harbor, FL 34695
Phone (727) 443-8463

1200 7th Ave N
#5
St Petersburg, FL 33705
Phone (727) 824-3188

620 10th St N
Ste 2E
St Petersburg, FL 33705
Phone (727) 824-8206

620 10th St N
Ste 2F
St Petersburg, FL 33705
Phone (727) 824-3188

620 10th St N
Ste 3C
St Petersburg, FL 33705
Phone (727) 446-2273

12780 Race Track Rd
Ste 115
Tampa, FL 33626
Phone (813) 749-7824

15045 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 972-1067

3003 W Mlk Blvd
Fl 3
Tampa, FL 33607
Phone (813) 554-8701

310 S Macdill Ave
Tampa, FL 33609
Phone (813) 605-5834

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1740901578",
    "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": "727-315-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W DR MARTIN LUTHER KING JR BLVD FL 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-554-8097",
            "fax_number": "813-554-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH'S HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-281-9202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRONIC COMPLEX CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.