Active NPI
Kevin Lynch, PA
- Physician Assistant
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103237
- Practice address
- 2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934 - Phone
- (561) 737-7733
- NPI assigned
- Jan 20, 2006
- Last updated
- Jan 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103237 | FL | Primary |
Addresses
Primary practice location
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934
Mailing address
5242 Canal Cir W
Lake Worth, FL 33467-1821
Phone (561) 281-7467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00348155 | Other | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006 | NY | MD | Marriage & Family Therapist |
| PA9103237 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Physician Assistant | Current | Accepting new patients |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Physician Assistant | Current | Accepting new patients |
| Gulfstream Emergency Physicians | Past | Accepting new patients | |
| Belle Glade Emergency Physicians LLC | Past | Accepting new patients |
Locations
1438 Western Ave
Albany, NY 12203
Phone (518) 218-4220
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000
147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Physician Assistant
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- General Acute Care Hospital
- Troy, NY
- NPI 1538606181
Physician Assistant
-
- Emergency Medicine Physician
- Belle Glade, FL
- NPI 1083631774
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1447428438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1689654915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5242 CANAL CIR W",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334671821",
"telephone_number": "561-281-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 S SEACREST BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357934",
"telephone_number": "561-737-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "KEVIN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00348155",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.