BAYCARE MEDICAL GROUP INC
NPI 1194396853
Internal Medicine - Hematology & Oncology in Lutz, FL

Active since July 05, 2021CLIA Certified · 2 labs
4211 VAN DYKE RD STE 200, LUTZ, FL 33558(813) 264-6490 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 1194396853) is a healthcare organization registered as a hematology & oncology in Lutz, 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

NPI1194396853
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address4211 VAN DYKE RD STE 200Lutz, FL 33558-8005
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 1194396853 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.

4211 VAN DYKE RD STE 200, Lutz, FL 33558

Other Names 1

Other NameHematology Oncology At Van Dyke

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 3

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 10D2069484

Baycare Medical Group Inc · Lutz, FL
Active · expires Nov 24, 2027
CLIA Number10D2069484
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorJennifer L. Giglia
Laboratory Phone(813) 321-6514
Laboratory LocationBaycare Medical Group Inc4211 Van Dyke Rd Ste 200, Lutz, FL 33558
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2119583

Baycare Medical Group Inc · Lutz, FL
Active · expires Sep 28, 2026
CLIA Number10D2119583
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorThomas F. Eiswerth
Laboratory Phone(813) 960-4026
Laboratory LocationBaycare Medical Group Inc4211 Van Dyke Rd - Ste 100 & 101, Lutz, FL 33558
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2028946

Baycare Medical Group, Inc · Lutz, FL
Expired · Jul 27, 2026
CLIA Number10D2028946
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorAnet Pargas
Laboratory Phone(727) 315-7446
Laboratory LocationBaycare Medical Group, Inc4683 Van Dyke Rd, Lutz, FL 33558
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.

Hospitalist
4211 VAN DYKE RD STE 200
LUTZ, FL 33558
Hospitalist
4211 VAN DYKE RD STE 200
LUTZ, FL 33558
Hospitalist
4211 VAN DYKE RD STE 200
LUTZ, FL 33558
Hospitalist
4211 VAN DYKE RD STE 200
LUTZ, FL 33558
Internal Medicine
4211 VAN DYKE RD STE 200
LUTZ, FL 33558
Hospitalist
4211 VAN DYKE RD STE 200
LUTZ, FL 33558
Hospitalist
4211 VAN DYKE RD STE 200
LUTZ, FL 33558
Hospitalist
4211 VAN DYKE RD STE 200
LUTZ, FL 33558

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 1194396853. It was assigned to this organization in the NPPES registry on July 5, 2021. The provider is also known as Hematology Oncology at Van Dyke.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 4211 Van Dyke Rd Ste 200, Lutz, FL 33558. The listed phone number is (813) 264-6490.

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 with the weekly NPPES data releases published by CMS.