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BAYCARE MEDICAL GROUP INC
NPI 1689245342
Pediatrics in Tampa, FL

Active since July 05, 2021CLIA 10D2085525 · Waiver
12780 RACE TRACK RD STE 205, TAMPA, FL 33626(813) 792-8878 Get Directions Write a Review

NPPES record last updated: July 5, 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 1689245342) is a healthcare organization registered as a pediatrics in Tampa, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1689245342
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address12780 RACE TRACK RD STE 205Tampa, FL 33626-1395
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(813) 792-8878
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJuly 5, 2021
NPPES CertifiedJuly 5, 2021
✔ NPI 1689245342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12780 RACE TRACK RD STE 205, Tampa, FL 33626
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Other Names 1

Other NameWestchase Pediatrics

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 10D2085525

Baycare Medical Group Inc · Tampa, FL
Active · expires Oct 14, 2026
CLIA Number10D2085525
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorReem Ichoa
Laboratory Phone(813) 792-8878
Laboratory LocationBaycare Medical Group Inc12780 Race Track Rd Ste 205, Tampa, FL 33626
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 4

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

DANIELLE BOYCE GLAROS APRN
Nurse Practitioner (Pediatrics)
12780 RACE TRACK RD STE 205
TAMPA, FL 33626
Hillsborough County (813) 792-8878
MEGAN RAEANNE SUMMERS
Social Worker (Clinical)
12780 RACE TRACK RD STE 205
TAMPA, FL 33626
Hillsborough County (813) 792-8878
REEM ICHOA DO
Pediatrics
12780 RACE TRACK RD STE 205
TAMPA, FL 33626
Hillsborough County (813) 792-8878
BAYCARE BEHAVIORAL HEALTH INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
12780 RACE TRACK RD STE 205
TAMPA, FL 33626
Hillsborough County (813) 792-8878

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 1689245342. It was assigned to this organization in the NPPES registry on July 5, 2021. The provider is also known as Westchase Pediatrics.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 12780 Race Track Rd Ste 205, Tampa, FL 33626. The listed phone number is (813) 792-8878.

What is Baycare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Baycare Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2085525) is associated with this NPI, valid through October 14, 2026. 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 5, 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.