Lucinda B Grovenburg (NPI# 1275691180, PAC ID# 8325935372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275691180 |
| PAC ID by PECOS | 8325935372 |
| Professional Enrollment ID | I20040303000714 |
| Full Name | Lucinda B Grovenburg |
| Organization Legal Name | TABASCO FAMILY PRACTICE PLLC |
| Address |
5 Golden Ln Kerhonkson NY 12446-1609 |
| Phone Number | 8456263424 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | ADDICTION MEDICINE |
| Group Practice PAC ID | 9234111345 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331310 | ELLENVILLE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5 Golden Ln, Kerhonkson, NY 12446-1609 | 8456263424 | TABASCO FAMILY PRACTICE PLLC |
| Organization Legal Name | TABASCO FAMILY PRACTICE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cinnamon A Rinzler | Physician Assistant | Tabasco Family Practice Pllc | 5 Golden Ln, Kerhonkson, NY 12446-1609 |
| James K Grovenburg | Family Medicine | Tabasco Family Practice Pllc | 5 Golden Ln, Kerhonkson, NY 12446-1609 |
| Street Address |
5 GOLDEN LN |
| City | KERHONKSON |
| State | NY |
| Zip | 12446-1609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cinnamon A Rinzler | Physician Assistant | Tabasco Family Practice Pllc | 5 Golden Ln, Kerhonkson, NY 12446-1609 |
| James K Grovenburg | Family Medicine | Tabasco Family Practice Pllc | 5 Golden Ln, Kerhonkson, NY 12446-1609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Millrood | Physical Therapy | Po Box, Suite 685, Kerhonkson, NY 12446-0685 | |
| John S Lichtenstein | Addiction Medicine | 6743 Route 209, Kerhonkson, NY 12446-2930 | |
| Holly E Elliott | Chiropractic | 6194 Route 209, Kerhonkson, NY 12446-3112 |
| City | KERHONKSON |
| Zip Code | 12446 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KERHONKSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lucinda B Grovenburg.
| 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.