1. Home
  2. Directory
  3. Florida
  4. Riverview
  5. Psychiatry Neurology
  6. NPI Profile

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

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.

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
Open in Google Maps ↗

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)
10141 BIG BEND RD STE 206
RIVERVIEW, FL 33578
Hillsborough County (813) 397-1274
BAYCARE MEDICAL GROUP INC
Internal Medicine (Cardiovascular Disease)
10141 BIG BEND RD STE 206
RIVERVIEW, FL 33578
Hillsborough County (813) 321-6580
BAYCARE MEDICAL GROUP INC
Internal Medicine (Gastroenterology)
10141 BIG BEND RD STE 206
RIVERVIEW, FL 33578
Hillsborough County (813) 397-1274
BAYCARE MEDICAL GROUP INC
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
10141 BIG BEND RD STE 206
RIVERVIEW, FL 33578
Hillsborough County (813) 397-1274
BAYCARE MEDICAL GROUP INC
Orthopaedic Surgery
10141 BIG BEND RD STE 206
RIVERVIEW, FL 33578
Hillsborough County (813) 397-1274
BAYCARE MEDICAL GROUP INC
Internal Medicine (Cardiovascular Disease)
10141 BIG BEND RD STE 206
RIVERVIEW, FL 33578
Hillsborough County (813) 321-6580
DR. FADI HASAN DIAB MD
Internal Medicine (Gastroenterology)
10141 BIG BEND RD STE 206
RIVERVIEW, FL 33578
Hillsborough County (813) 397-1274
DR. ERIC R JAMES M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
10141 BIG BEND RD STE 206
RIVERVIEW, FL 33578
Hillsborough County (813) 397-1274

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 1043881717. It was assigned to this organization in the NPPES registry on July 5, 2021. The provider is also known as Neurology at Big Bend.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 10141 Big Bend Rd Ste 206, Riverview, FL 33578. The listed phone number is (813) 397-1274.

What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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.