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BAYCARE MEDICAL GROUP INC
NPI 1821661661
Family Medicine in Clearwater, FL

Active since July 20, 2021CLIA 10D2125010 · Waiver
3251 N MCMULLEN BOOTH RD STE 103, CLEARWATER, FL 33761(727) 725-1003(727) 635-7864 Get Directions Write a Review

NPPES record last updated: July 20, 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 1821661661) is a healthcare organization registered as a family medicine in Clearwater, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1821661661
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address3251 N MCMULLEN BOOTH RD STE 103Clearwater, FL 33761-2022
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012 · (727) 281-9390
Phone(727) 725-1003
Fax(727) 635-7864
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJuly 20, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1821661661 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 103, Clearwater, FL 33761
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Other Names 1

Other NameCountryside Ii

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 10D2125010

Baycare Medical Group Inc · Clearwater, FL
Active · expires Jan 29, 2027
CLIA Number10D2125010
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorJames Swoager
Laboratory Phone(727) 725-1003
Laboratory LocationBaycare Medical Group Inc3251 Mcmullen Booth Rd Ste 103, 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

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

BAYCARE MEDICAL GROUP INC
Family Medicine
3251 N MCMULLEN BOOTH RD STE 103
CLEARWATER, FL 33761
Pinellas County (727) 799-6385

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 1821661661. It was assigned to this organization in the NPPES registry on July 20, 2021. The provider is also known as Countryside II.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 3251 N Mcmullen Booth Rd Ste 103, Clearwater, FL 33761. The listed phone number is (727) 725-1003.

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 10D2125010) is associated with this NPI, valid through January 29, 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 July 20, 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.