BAYCARE MEDICAL GROUP INC
NPI 1003487760
Internal Medicine - Hematology & Oncology in Plant City, FL

Active since July 05, 2021CLIA Certified · 2 labs
1601 W TIMBERLANE DR STE 100, PLANT CITY, FL 33566(813) 708-1312 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baycare Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYCARE MEDICAL GROUP INC (NPI 1003487760) is a healthcare organization registered as a hematology & oncology in Plant City, Florida and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1003487760
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address1601 W TIMBERLANE DR STE 100Plant City, FL 33566-0957
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJuly 5, 2021
NPPES CertifiedJuly 5, 2021
NPI 1003487760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1601 W TIMBERLANE DR STE 100, Plant City, FL 33566

Other Names 1

Other NameHematology Oncology At Walden Lakes

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2013359

Baycare Medical Group, Inc · Plant City, FL
Active · expires Mar 14, 2028
CLIA Number10D2013359
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorLiji George
Laboratory Phone(727) 240-0531
Laboratory LocationBaycare Medical Group, Inc1601 W Timberlane Dr Ste 300, Plant City, FL 33566
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0705416

Baycare Medical Group Inc · Clearwater, FL
Active · expires Dec 12, 2026
CLIA Number10D0705416
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorMichael Rommel
Laboratory Phone(813) 799-6255
Laboratory LocationBaycare Medical Group Inc2605 E Enterprise Rd - Ste #100, Clearwater, FL 33759
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1601 W TIMBERLANE DR STE 100
PLANT CITY, FL 33566
Surgery
1601 W TIMBERLANE DR STE 100
PLANT CITY, FL 33566
Surgery
1601 W TIMBERLANE DR STE 100
PLANT CITY, FL 33566
Surgery
1601 W TIMBERLANE DR STE 100
PLANT CITY, FL 33566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baycare Medical Group Inc's NPI number?

The NPI number for Baycare Medical Group Inc is 1003487760. It was assigned to this organization in the NPPES registry on July 5, 2021. The provider is also known as Hematology Oncology at Walden Lakes.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 1601 W Timberlane Dr Ste 100, Plant City, FL 33566. The listed phone number is (813) 708-1312.

What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Baycare Medical Group Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Baycare Medical Group Inc was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.