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BAYCARE MEDICAL GROUP INC
NPI 1396314142
Family Medicine in Tampa, FL

Active since June 24, 2021CLIA 10D0923187 · Waiver
1919 W SWANN AVE FL 3, TAMPA, FL 33606(813) 254-8055(813) 443-8163 Get Directions Write a Review

NPPES record last updated: June 24, 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 1396314142) is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1396314142
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address1919 W SWANN AVE FL 3Tampa, FL 33606-2417
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(813) 254-8055
Fax(813) 443-8163
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1396314142 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
1919 W SWANN AVE FL 3, Tampa, FL 33606
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Other Names 1

Other NameHyde Park 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 10D0923187

Baycare Medical Group Inc · Tampa, FL
Active · expires Jun 26, 2027
CLIA Number10D0923187
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorDr. Amy L. Bearison
Laboratory Phone(813) 254-7079
Laboratory LocationBaycare Medical Group Inc1919 W Swann Ave 2nd Floor, Tampa, FL 33606
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 4

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

MS. DANIELLE N HEBERT APRN-C
Nurse Practitioner (Family)
1919 W SWANN AVE FL 3
TAMPA, FL 33606
Hillsborough County (813) 254-7079
MRS. LAURA MARIE TALAKKOTTUR ARNP
Nurse Practitioner (Family)
1919 W SWANN AVE FL 3
TAMPA, FL 33606
Hillsborough County (813) 254-8055
ALEXANDRA ELIZABETH PUENTE MD
Family Medicine
1919 W SWANN AVE FL 3
TAMPA, FL 33606
Hillsborough County (813) 254-8055
SHAHLA GOODARZI AMROOEI ARNP
Nurse Practitioner (Family)
1919 W SWANN AVE FL 3
TAMPA, FL 33606
Hillsborough County (813) 254-8055

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 1396314142. It was assigned to this organization in the NPPES registry on June 24, 2021. The provider is also known as Hyde Park Adult Medicine.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 1919 W Swann Ave Fl 3, Tampa, FL 33606. The listed phone number is (813) 254-8055.

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 10D0923187) is associated with this NPI, valid through June 26, 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 24, 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.