BAYCARE MEDICAL GROUP INC
NPI 1396314142
Family Medicine in Tampa, FL
NPI Status: Active since June 24, 2021
Contact Information
1919 W SWANN AVE FL 3
TAMPA, FL
ZIP 33606
Phone: (813) 254-8055
Fax: (813) 443-8163
- Organization
- Family Medicine
- CLIA Number: 10D0923187
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-10-2026
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 Tampa, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1396314142 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, Pfs)
- NPI
- 1396314142
- Provider Name
- BAYCARE MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 1919 W SWANN AVE FL 3 TAMPA, FL 33606
- Location Phone
- (813) 254-8055
- Location Fax
- (813) 443-8163
- Mailing Address
- 2995 DREW ST FL 3 CLEARWATER, FL 33759
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2021
- Last Update Date
- 06-24-2021
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & 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.
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
- 10D0923187
- Facility Type
- Physician Office
- Certificate Effective Date
- November 11, 2024
- Certificate Expiration Date
- November 10, 2026
- Laboratory Director
- DR. AMY L. BEARISON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Baycare Medical Group Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 3 | 9 | 6 | 3 | 1 | 4 | 1 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 6 | 1 | 8 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 6 + 1 + 8 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1396314142 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194275271 | MS. DANIELLE N HEBERT APRN-C Individual | Nurse Practitioner (Family) | 1919 W SWANN AVE FL 3 TAMPA, FL 33606 (813) 254-8055 |
| 1275787681 | MRS. LAURA MARIE TALAKKOTTUR ARNP Individual | Nurse Practitioner (Family) | 1919 W SWANN AVE FL 3 TAMPA, FL 33606 (813) 254-8055 |
| 1922089838 | SHAHLA GOODARZI AMROOEI ARNP Individual | Nurse Practitioner (Family) | 1919 W SWANN AVE FL 3 TAMPA, FL 33606 (813) 254-8055 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396314142, enumerated in the NPI registry as an "organization" on June 24, 2021
The provider is located at 1919 W Swann Ave Fl 3 Tampa, Fl 33606 and the phone number is (813) 254-8055
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 10D0923187 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on June 24, 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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