BAYCARE MEDICAL GROUP INC
NPI 1336719889
Internal Medicine - Cardiovascular Disease in Safety Harbor, FL

Active since June 28, 2021CLIA 10D2052902 · Waiver
1840 MEASE DR STE 200, SAFETY HARBOR, FL 34695(727) 724-8611(727) 724-0425 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1336719889) is a healthcare organization registered as a cardiovascular disease in Safety Harbor, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1336719889
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address1840 MEASE DR STE 200Safety Harbor, FL 34695-6604
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Fax(727) 724-0425
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJune 28, 2021
NPPES CertifiedJune 28, 2021
NPI 1336719889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1840 MEASE DR STE 200, Safety Harbor, FL 34695

Other Names 1

Other NameCardiology Countryside

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 10D2052902

Baycare Medical Group Inc · Safety Harbor, FL
Active · expires Jan 21, 2027
CLIA Number10D2052902
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorVan Nguyen
Laboratory Phone(727) 724-8611
Laboratory LocationBaycare Medical Group Inc1840 Mease Dr Ste 200, Safety Harbor, FL 34695
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.

Internal Medicine (Cardiovascular Disease)
1840 MEASE DR STE 200
SAFETY HARBOR, FL 34695
Internal Medicine (Cardiovascular Disease)
1840 MEASE DR STE 200
SAFETY HARBOR, FL 34695
Internal Medicine (Cardiovascular Disease)
1840 MEASE DR STE 200
SAFETY HARBOR, FL 34695
Internal Medicine (Cardiovascular Disease)
1840 MEASE DR STE 200
SAFETY HARBOR, FL 34695
Internal Medicine (Cardiovascular Disease)
1840 MEASE DR STE 200
SAFETY HARBOR, FL 34695
Internal Medicine (Clinical Cardiac Electrophysiology)
1840 MEASE DR STE 200
SAFETY HARBOR, FL 34695
Nurse Practitioner (Family)
1840 MEASE DR STE 200
SAFETY HARBOR, FL 34695

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 1336719889. It was assigned to this organization in the NPPES registry on June 28, 2021. The provider is also known as Cardiology Countryside.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 1840 Mease Dr Ste 200, Safety Harbor, FL 34695. The listed phone number is (727) 724-8611.

What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Baycare Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2052902) is associated with this NPI, valid through January 21, 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 June 28, 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.