BAYCARE MEDICAL GROUP INC
NPI 1467021444
Family Medicine in Clearwater, FL

Q: What is Baycare Medical Group Inc's NPI number?

The NPI number for Baycare Medical Group Inc is 1467021444. It was assigned to this organization in the NPPES registry on June 23, 2021. The provider is also known as Countryside I.

Q: What is Baycare Medical Group Inc's specialty?

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

Active since June 23, 2021CLIA 10D0911801 · Waiver

3251 N MCMULLEN BOOTH RD STE 104, CLEARWATER, FL 33761(727) 799-0415(727) 635-7941 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Baycare Medical Group Inc NPPES

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

BAYCARE MEDICAL GROUP INC (NPI 1467021444) is a healthcare organization registered as a family medicine in Clearwater, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1467021444

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBAYCARE MEDICAL GROUP INC

Location Address3251 N MCMULLEN BOOTH RD STE 104Clearwater, FL 33761-2022

Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012 · (727) 281-9390

Phone(727) 799-0415

Fax(727) 635-7941

Organization SubpartNo

Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202

Enumeration DateJune 23, 2021

NPPES CertifiedJune 23, 2021

✔ NPI 1467021444 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

3251 N MCMULLEN BOOTH RD STE 104, Clearwater, FL 33761

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Other Names 1

Other NameCountryside I

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 10D0911801

Baycare Medical Group Inc · Clearwater, FL

Active · expires Feb 14, 2028

CLIA Number10D0911801

Laboratory TypeOther

Certificate Effective DateFebruary 15, 2026

Certificate Expiration DateFebruary 14, 2028

Laboratory DirectorElizabeth Rommel

Laboratory Phone(727) 799-0415

Laboratory LocationBaycare Medical Group Inc3251 Mcmullen Booth Rd Ste 104, Clearwater, FL 33761

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MARCIA A RADKE M.D.

Internal Medicine

3251 N MCMULLEN BOOTH RD STE 104
CLEARWATER, FL 33761

Pinellas County (727) 799-0415

DR. ELIZABETH ANNE ROMMEL MD

Internal Medicine

3251 N MCMULLEN BOOTH RD STE 104
CLEARWATER, FL 33761

Pinellas County (727) 799-0415

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 1467021444. It was assigned to this organization in the NPPES registry on June 23, 2021. The provider is also known as Countryside I.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 3251 N Mcmullen Booth Rd Ste 104, Clearwater, FL 33761. The listed phone number is (727) 799-0415.

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 10D0911801) is associated with this NPI, valid through February 14, 2028. 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 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.