BAYCARE MEDICAL GROUP INC
NPI 1114597911
Family Medicine in St Petersburg, FL

NPI Status: Active since June 25, 2021

Contact Information

630 PASADENA AVE S
ST PETERSBURG, FL
ZIP 33707
Phone: (727) 360-1784
Fax: (727) 360-1823

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  • Organization
  • Family Medicine
  • CLIA Number: 10D2001966
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-04-2026

About BAYCARE MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Baycare Medical Group Inc, a primary care provider established in St Petersburg, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114597911 assigned on June 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lynda Gorken (Vp)

NPI
1114597911
Provider Name
BAYCARE MEDICAL GROUP INC
Entity Type
Organization
Location Address
630 PASADENA AVE S ST PETERSBURG, FL 33707
Location Phone
(727) 360-1784
Location Fax
(727) 360-1823
Mailing Address
2995 DREW ST FL 3 CLEARWATER, FL 33759
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2021
Last Update Date
06-25-2021
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A primary care provider (PCP) like Baycare Medical Group Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LYNDA GORKEN

Authorized Official Title
VP
Authorized Official Phone
(727) 281-9202

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2001966
Facility Type
Physician Office
Certificate Effective Date
January 05, 2024
Certificate Expiration Date
January 04, 2026
Laboratory Director
THOMAS ESPOSITO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Baycare Medical Group Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BAYCARE MEDICAL GROUP INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114597911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241091492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 9 + 1 + 4 + 9 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1114597911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033219316MS. HELEN FEATHERSTON ARNP
Individual
Nurse Practitioner (Family)630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 345-7100
1063555027 JAN S HUMPHREYS ARNP-C
Individual
Nurse Practitioner (Adult Health)630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 345-7100
1821131962 JOHN VINCENT MURRAY MD
Individual
Family Medicine630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 345-7100
1932521127MRS. JESSICA LEE SCOTT ARNP
Individual
Nurse Practitioner630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 345-7100
1639404601 JANE L WILLIAMS MD
Individual
Family Medicine630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 345-7100
1730449604MR. JOSEPH WARREN VERGE ANP
Individual
Nurse Practitioner630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 345-7100
1356482095PASADENA FAMILY MEDICAL ASSOCIATES
Organization
Family Medicine630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 345-7100
1780080945DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Organization
Family Medicine630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 345-7100
1851603229DR. DANIELA UEBELHART M.D.
Individual
Internal Medicine630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 360-1784
1902946627DR. THOMAS E ESPOSITO MD
Individual
Family Medicine630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 360-1784
1205410768 JUAN PEREIRA DO
Individual
Internal Medicine630 PASADENA AVE S
ST PETERSBURG, FL 33707
(727) 360-1784
1598746190MRS. BONNIE LYNN DAVIS ARNP, BC
Individual
Nurse Practitioner (Family)630 PASADENA AVE S
SAINT PETERSBURG, FL 33707
(727) 360-1784
1407318405 GRAIG ALPERT MD
Individual
Family Medicine630 PASADENA AVE S
SAINT PETERSBURG, FL 33707
(727) 360-1784

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114597911, enumerated in the NPI registry as an "organization" on June 25, 2021

The provider is located at 630 Pasadena Ave S St Petersburg, Fl 33707 and the phone number is (727) 360-1784

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 10D2001966 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 25, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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