Gincy L Kandankulam (NPI# 1477883965, PAC ID# 6204011968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477883965 |
| PAC ID by PECOS | 6204011968 |
| Professional Enrollment ID | I20160601002240 |
| Full Name | Gincy L Kandankulam |
| Organization Legal Name | BETHESDA HEALTH PHYSICIAN GROUP, INC. |
| Address |
8200 S Jog Rd Suite 102 Boynton Beach FL 33472-2981 |
| Phone Number | 5617377733 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830154863 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100002 | BETHESDA HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 | 5617377733 | BETHESDA HEALTH PHYSICIAN GROUP, INC. |
| Organization Legal Name | BETHESDA HEALTH PHYSICIAN GROUP, INC. |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Jose | Internal Medicine | Bethesda Health Physician Group, Inc. | 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 |
| Laurice H Gabriel | Family Medicine | Bethesda Health Physician Group, Inc. | 9868 S State Rd, 7 Suite 310, Boynton Beach, FL 33472-4477 |
| Michael S Burke | Family Medicine | Bethesda Health Physician Group, Inc. | 237 George Bush Blvd, Delray Beach, FL 33444-4034 |
| Carmen M Marrero | Family Medicine | Bethesda Health Physician Group, Inc. | 11327 Okeechobee Blvd, Suite 2and3, Royal Palm Beach, FL 33411-8724 |
| Cari D Graber Schuk | Obstetrics/gynecology | Bethesda Health Physician Group, Inc. | 10301 Hagen Ranch Rd, Suite B5, Boynton Beach, FL 33437-3724 |
| Jesus G Jimenez | General Surgery | Bethesda Health Physician Group, Inc. | 2800 S Seacrest Blvd, Suite 200, Boynton Beach, FL 33435-7966 |
| Susan Solomon-grimes | Nurse Practitioner | Bethesda Health Physician Group, Inc. | 2465 S State Rd, 7 Suite 800, Wellington, FL 33414-9348 |
| Kerline Prospere-daceus | Nurse Practitioner | Bethesda Health Physician Group, Inc. | 2800 S Seacrest Blvd, Suite 200, Boynton Beach, FL 33435-7966 |
| Jessica W Mcafee | Nurse Practitioner | Bethesda Health Physician Group, Inc. | 10301 Hagen Ranch Rd, Suite B5, Boynton Beach, FL 33437-3724 |
| Angelica Maria Rodriguez | Physician Assistant | Bethesda Health Physician Group, Inc. | 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7969 |
| Street Address |
8200 S JOG RD SUITE 102 |
| City | BOYNTON BEACH |
| State | FL |
| Zip | 33472-2981 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Jose | Internal Medicine | Bethesda Health Physician Group, Inc. | 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 |
| Ian S Nagle | Physical Therapy | 8200 S Jog Rd, Suite 202, Boynton Beach, FL 33472-2981 | |
| Seth A Minsky | Podiatry | Adam J Katz Dpm Pa | 8200 S Jog Rd, Suite 205, Boynton Beach, FL 33437-2981 |
| Edyta Krzak-mularczyk | Internal Medicine | Bethesda Health Physician Group, Inc. | 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 |
| Deborah Friedlander | Geriatric Medicine | Tenet Florida Physician Services LLC | 8200 S Jog Rd, Suite 204, Boynton Beach, FL 33472-2981 |
| Melissa Mora | Internal Medicine | Bethesda Health Physician Group, Inc. | 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 |
| Elizabeth F Sommer | Nurse Practitioner | Bethesda Health Physician Group, Inc. | 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Kwasman | Podiatry | Dr Barry Kwasman Dpm LLC | 9101 Tremezzo Ln, Boynton Beach, FL 33472-2747 |
| Jennine M Cabanellas | Ophthalmology | South Florida Vision Associates LLC | 8198 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2900 |
| Kathryn E Ireland | Ophthalmology | South Florida Vision Associates LLC | 8198 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2900 |
| Steve S Spector | Ophthalmology | South Florida Vision Associates LLC | 8198 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2900 |
| Sirtaz S Sibia | Ophthalmology | South Florida Vision Associates LLC | 8198 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2900 |
| Kelly T Mcarthur | Physical Therapy | 8198 S Jog Rd, Suite 204 5, Boynton Beach, FL 33472-2900 | |
| Gerardo Quinonez | Internal Medicine | 8190 S Jog Rd, Suite 100, Boynton Beach, FL 33472-2911 | |
| Gulnaz Mirza | Endocrinology | 8190 S Jog Rd, Suite 120, Boynton Beach, FL 33472-2911 | |
| Michael B Auerbach | Interventional Pain Management | Ortho Florida, LLC | 8190 S Jog Rd, Suite 101, Boynton Beach, FL 33472-2911 |
| George J Emerick | Obstetrics/gynecology | Institute for Women's Health and Body LLC | 8188 S Jog Rd, Suite 203, Boynton Beach, FL 33472-2952 |
| Find all physicians in zip 33472 | |||
| City | BOYNTON BEACH |
| Zip Code | 33472 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOYNTON BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gincy L Kandankulam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.