BAYCARE MEDICAL GROUP INC - NPI 1104495951 - Family Medicine in Largo, FL

Q: What is Baycare Medical Group Inc's NPI number?

The NPI number for Baycare Medical Group Inc is 1104495951. It was assigned to this organization in the NPPES registry on June 24, 2021. The provider is also known as Indian Rocks.

Q: What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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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 1104495951) is a healthcare organization registered as a family medicine in Largo, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1104495951

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBAYCARE MEDICAL GROUP INC

Location Address12899 WALSINGHAM RDLargo, FL 33774-3537

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

Phone(727) 596-9490

Fax(813) 635-7943

Organization SubpartNo

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

Enumeration DateJune 24, 2021

NPPES CertifiedJune 24, 2021

✔ NPI 1104495951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

12899 WALSINGHAM RD, Largo, FL 33774

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Other Names 1

Other NameIndian Rocks

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

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 10D1103348

Baycare Medical Group Inc · Largo, FL

Active · expires Aug 9, 2027

CLIA Number10D1103348

Laboratory TypePhysician Office

Certificate Effective DateAugust 10, 2025

Certificate Expiration DateAugust 9, 2027

Laboratory DirectorDavid Francis

Laboratory Phone(727) 596-9490

Laboratory LocationBaycare Medical Group Inc12899 Walsingham Rd, Largo, FL 33774

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 7

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

DR. KATHERINE MATLOCK D.O.

Family Medicine