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BAYCARE MEDICAL GROUP INC
NPI 1306419643
Family Medicine in Tampa, FL

Active since July 23, 2021CLIA 10D2001703 · Waiver
12780 RACE TRACK RD STE 300, TAMPA, FL 33626(813) 792-9541(813) 443-8170 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 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 1306419643) is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1306419643
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address12780 RACE TRACK RD STE 300Tampa, FL 33626-1306
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(813) 792-9541
Fax(813) 443-8170
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJuly 23, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1306419643 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
12780 RACE TRACK RD STE 300, Tampa, FL 33626
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Other Names 1

Other NameWestchase Adult Medicine

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 10D2001703

Baycare Medical Group Inc · Tampa, FL
Active · expires Jun 30, 2027
CLIA Number10D2001703
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorRuth Henson
Laboratory Phone(813) 321-6563
Laboratory LocationBaycare Medical Group Inc12780 Race Track Rd Ste 400, Tampa, FL 33626
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 3

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

DR. CHRISTOPHER J. PURCELL M.D.
Family Medicine
12780 RACE TRACK RD STE 300
TAMPA, FL 33626
Hillsborough County (813) 792-9541
JILLIAN GINNETTI PA-C
Physician Assistant (Medical)
12780 RACE TRACK RD STE 300
TAMPA, FL 33626
Hillsborough County (813) 792-9541
DR. ILEANA M ACEVEDO MD
Internal Medicine
12780 RACE TRACK RD STE 300
TAMPA, FL 33626
Hillsborough County (813) 792-9541

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 1306419643. It was assigned to this organization in the NPPES registry on July 23, 2021. The provider is also known as Westchase Adult Medicine.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 12780 Race Track Rd Ste 300, Tampa, FL 33626. The listed phone number is (813) 792-9541.

What is Baycare Medical Group Inc's specialty?

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

Does Baycare Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2001703) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baycare Medical Group Inc was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.