Dervi Ganesh, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME129154 Issued in FL

Practice address

211 E Boynton Beach Blvd
Boynton Beach, FL 33435-3839

Phone

(561) 732-3200

Fax

(561) 732-6849

NPI assigned

May 22, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dervi Ganesh-Baluyot Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: dervi.ganesh.1@15743.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1033479209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 GERTRUDE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622530",
            "telephone_number": "561-350-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353839",
            "telephone_number": "561-732-3200",
            "fax_number": "561-732-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESH",
        "first_name": "DERVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME129154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DERVI",
            "last_name": "GANESH-BALUYOT",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles J Galecki, MPT
• Teresa Gallo-Thys, DO
• Galloway Anesthesia Associates LLC
• Paula Galvan, PA-C
• Abigail Gamez
• Jan Ganesh, PSY. D.
• Selva Ganesh, M.D.
• Daylen Garcia la Rosa
• Ana Flavia Garcia Machado, RBT
• Odalys Garcia Machado

• Obstetrics & Gynecology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.