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ST. JOSEPH'S HOSPITAL, INC.
NPI 1457233678
Family Medicine in Lutz, FL

Active since July 21, 2025CLIA 10D2000704 · Waiver
4211 VAN DYKE RD FL 1, LUTZ, FL 33558(813) 443-7000 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St. Joseph's Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOSEPH'S HOSPITAL, INC. (NPI 1457233678) is a healthcare organization registered as a family medicine in Lutz, Florida and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Lynda Gorken, Vice President, as its authorized official.

NPPES Registry Identity

NPI1457233678
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. JOSEPH'S HOSPITAL, INC.
Location Address4211 VAN DYKE RD FL 1Lutz, FL 33558-8005
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 315-6974 · Fax (813) 635-2613
Phone(813) 443-7000
Organization SubpartNo
Authorized OfficialLynda GorkenVice President · (727) 281-9202
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1457233678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4211 VAN DYKE RD FL 1, Lutz, FL 33558
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Other Names 1

Other NameProfessional Billing Sjh North

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2000704

St Joseph's Hospital North Laboratory · Lutz, FL
Active · expires Dec 3, 2027
CLIA Number10D2000704
Laboratory TypeHospital
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorShannon E. Mann
Laboratory Phone(813) 443-7254
Laboratory LocationSt Joseph's Hospital North Laboratory4211 Van Dyke Road, Lutz, FL 33558
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 St. Joseph's Hospital, Inc.'s NPI number?

The NPI number for St. Joseph's Hospital, Inc. is 1457233678. It was assigned to this organization in the NPPES registry on July 21, 2025. The provider is also known as Professional Billing Sjh North.

Where is St. Joseph's Hospital, Inc. located?

St. Joseph's Hospital, Inc. is located at 4211 Van Dyke Rd Fl 1, Lutz, FL 33558. The listed phone number is (813) 443-7000.

What is St. Joseph's Hospital, Inc.'s specialty?

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

Does St. Joseph's Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2000704) is associated with this NPI, valid through December 3, 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 St. Joseph's Hospital, Inc. was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.