National Provider Identifier
Great Lakes Physician Practice PC
Great Lakes Physician Practice PC is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Jamestown, NY and a listed phone number of (716) 488-1877.
Source: public NPPES record, last updated February 03, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1730599176
- Provider Type
- Organization
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 07, 2014
- Last Updated
- February 03, 2020
Practice Location
- 15 S Main St
- Jamestown, NY 14701-6626
Phone: (716) 488-1877
Authorized Official
- Name
- Patricia Devlin
- Title
- Sr.Director
- Phone
- (412) 432-7469
Specialties
- Internal Medicine Physician (207R00000X)
- Cardiovascular Disease Physician (207RC0000X)
- Emergency Medicine Physician (207P00000X)
- Family Medicine Physician (207Q00000X)
- Gastroenterology Physician (207RG0100X)
- Nephrology Physician (207RN0300X)
- Obstetrics & Gynecology Physician (207V00000X)
- Orthopaedic Surgery Physician (207X00000X)
- Otolaryngology Physician (207Y00000X)
- Pulmonary Disease Physician (207RP1001X)
- Surgery Physician (208600000X)
Browse Similar Providers
See more providers in the Internal Medicine classification in Jamestown, NY.
Organization Overview
Great Lakes Physician Practice, PC (GLPP) is a Jamestown, New York-based network of primary care and specialty physicians serving Chautauqua County and nearby communities. GLPP says it includes more than 50 physicians and 20 advanced practice providers across 12 locations, with major facilities in Fredonia and a medical mall in Jamestown. UPMC Hamot provides administrative and business support for GLPP, while GLPP remains responsible for its own medical care; its Jamestown offices include family medicine, internal medicine, cardiology, gastroenterology, surgery, women’s health, and other specialties.
Full Record
- NPI
- 1730599176
- Entity Type
- Organization
- Organization Name
- Great Lakes Physician Practice PC
- Mailing Street Address
- 15 S Main St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6626
- Mailing Country
- US
- Mailing Phone
- (716) 488-1877
- Mailing Fax
- (716) 488-1986
- Practice Street Address
- 15 S Main St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6626
- Practice Country
- US
- Practice Phone
- (716) 488-1877
- Practice Fax
- (716) 488-1986
- Enumeration Date
- May 07, 2014
- Last Updated
- February 03, 2020
- Authorized Official Last Name
- Devlin
- Authorized Official First Name
- Patricia
- Authorized Official Title
- Sr.Director
- Authorized Official Phone
- (412) 432-7469
- Organization Subpart
- No
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- Taxonomy Group 4
- 193200000X Multi-Specialty Group
- Taxonomy Group 5
- 193200000X Multi-Specialty Group
- Taxonomy Group 6
- 193200000X Multi-Specialty Group
- Taxonomy Group 7
- 193200000X Multi-Specialty Group
- Taxonomy Group 8
- 193200000X Multi-Specialty Group
- Taxonomy Group 9
- 193200000X Multi-Specialty Group
- Taxonomy Group 10
- 193200000X Multi-Specialty Group
- Taxonomy Group 11
- 193200000X Multi-Specialty Group
- Certification Date
- February 03, 2020
- Taxonomies
- Internal Medicine Physician (207R00000X), Cardiovascular Disease Physician (207RC0000X), Emergency Medicine Physician (207P00000X), Family Medicine Physician (207Q00000X), Gastroenterology Physician (207RG0100X), Nephrology Physician (207RN0300X), Obstetrics & Gynecology Physician (207V00000X), Orthopaedic Surgery Physician (207X00000X), Otolaryngology Physician (207Y00000X), Pulmonary Disease Physician (207RP1001X), Surgery Physician (208600000X)