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BAYCARE MEDICAL GROUP INC
NPI 1003487786
Pediatrics - Pediatric Critical Care Medicine in Tampa, FL

Active since July 05, 2021CLIA Certified · 2 labs
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 870-4619 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1003487786) is a healthcare organization registered as a pediatric critical care medicine in Tampa, 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

NPI1003487786
Entity TypeOrganization
Primary Taxonomy2080P0203X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address3001 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(813) 870-4619
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJuly 5, 2021
NPPES CertifiedJuly 5, 2021
✔ NPI 1003487786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
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Other Names 1

Other NamePediatric Intensive Care

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 10D2105006

Baycare Medical Group Inc · Tampa, FL
Active · expires Nov 16, 2027
CLIA Number10D2105006
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorMeenakshi Bhalla
Laboratory Phone(813) 321-6315
Laboratory LocationBaycare Medical Group Inc3003 W Dr Mlk Jr Blvd, Tampa, FL 33607
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1010219

Baycare Medical Group Inc · Tampa, FL
Active · expires Mar 9, 2027
CLIA Number10D1010219
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorNicole Lang
Laboratory Phone(813) 636-2014
Laboratory LocationBaycare Medical Group Inc3440 W Mlk Jr Blvd Ste 203, Tampa, FL 33607
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 20

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

MRS. KAYLA EDMONDS CAA
Anesthesiologist Assistant
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 350-7244
ROLA ASHOUR
Nurse Practitioner (Family)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4000
HEIDI RUTH HESS ARNP
Nurse Practitioner
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8343
YASMEEN HASHIMIE
Internal Medicine (Hematology & Oncology)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 321-6589
MS. JULIA CHUNG AA
Anesthesiologist Assistant
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 350-7244
DR. MARK D VAALER M.D.
Internal Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4020
DR. MARIO FRANCISCO HERNANDEZ MENDEZ M.D.
Family Medicine
3001 W DR MARTIN LUTHER KING JR BLVD, MS - 3075
TAMPA, FL 33607
Hillsborough County (813) 870-4933
ALEJANDRA CAMARGO
Registered Nurse
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4000

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 1003487786. It was assigned to this organization in the NPPES registry on July 5, 2021. The provider is also known as Pediatric Intensive Care.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607. The listed phone number is (813) 870-4619.

What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

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 with the weekly NPPES data releases published by CMS.