BAYCARE MEDICAL GROUP INC
NPI 1043881717
Psychiatry & Neurology - Neurology in Riverview, FL

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

Active since July 05, 2021CLIA Certified · 2 labs

10141 BIG BEND RD STE 206, RIVERVIEW, FL 33578(813) 397-1274 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Baycare Medical Group Inc NPPES

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

BAYCARE MEDICAL GROUP INC (NPI 1043881717) is a healthcare organization registered as a neurology in Riverview, 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

NPI1043881717

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameBAYCARE MEDICAL GROUP INC

Location Address10141 BIG BEND RD STE 206Riverview, FL 33578-7422

Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012

Phone(813) 397-1274

Organization SubpartNo

Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202

Enumeration DateJuly 5, 2021

NPPES CertifiedJuly 5, 2021

✔ NPI 1043881717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

10141 BIG BEND RD STE 206, Riverview, FL 33578

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Other Names 1

Other NameNeurology At Big Bend

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 10D2059706

Baycare Medical Group Inc · Riverview, FL

Active · expires Jul 18, 2027

CLIA Number10D2059706

Laboratory TypePhysician Office

Certificate Effective DateJuly 19, 2025

Certificate Expiration DateJuly 18, 2027

Laboratory DirectorDr. Moriam Ayoamu

Laboratory Phone(813) 586-8322

Laboratory LocationBaycare Medical Group Inc10141 Big Bend Rd Ste 101, Riverview, FL 33578

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2125210

Baycare Medical Group, Inc · Riverview, FL

Active · expires Feb 1, 2027

CLIA Number10D2125210

Laboratory TypePhysician Office

Certificate Effective DateFebruary 2, 2025

Certificate Expiration DateFebruary 1, 2027

Laboratory DirectorKimberly Smoak

Laboratory Phone(813) 302-8740

Laboratory LocationBaycare Medical Group, Inc10141 Big Bend Road #200, Riverview, FL 33578

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 11

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

DR. HECTOR HUGO VELEZ-CAMACHO M.D.

Psychiatry & Neurology (Neurology)