| Olean Medical Group Partnership | |
|
535 Main St Olean NY 14760-1513 | |
| (716) 372-0141 | |
| (716) 373-6632 |
| Full Name | Olean Medical Group Partnership |
|---|---|
| Speciality | Clinic/Center |
| Location | 535 Main St, Olean, New York |
| Authorized Official Name and Position | Christine Strade (CEO) |
| Authorized Official Contact | 7163720141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olean Medical Group Partnership 535 Main St Olean NY 14760-1513 Ph: (716) 372-0141 | Olean Medical Group Partnership 535 Main St Olean NY 14760-1513 Ph: (716) 372-0141 |
| NPI Number | 1689669541 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 09/20/2021 |
| Medicare PECOS PAC ID | 1951203850 |
|---|---|
| Medicare Enrollment ID | O20040122000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689669541 | NPI | - | NPPES |
| 03012159 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kirwin G Gibbs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043279748 PECOS PAC ID: 6800797366 Enrollment ID: I20040116000851 |
| Provider Name | Puneet S Chahal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386752707 PECOS PAC ID: 4688577802 Enrollment ID: I20040127000836 |
| Provider Name | Tami L Buzzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528067667 PECOS PAC ID: 4284629619 Enrollment ID: I20040416000048 |
| Provider Name | Susan E Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295708774 PECOS PAC ID: 7719975226 Enrollment ID: I20040504000551 |
| Provider Name | Rajnikant M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942220397 PECOS PAC ID: 7517859259 Enrollment ID: I20040505000284 |
| Provider Name | Arun P Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205815255 PECOS PAC ID: 3779475413 Enrollment ID: I20040505000297 |
| Provider Name | Baktash Bootorabi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992758551 PECOS PAC ID: 1456342401 Enrollment ID: I20040519001260 |
| Provider Name | Pamela T Salzmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932108149 PECOS PAC ID: 0941283667 Enrollment ID: I20040611001052 |
| Provider Name | Glauco Maresca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053370742 PECOS PAC ID: 4284548868 Enrollment ID: I20040715001255 |
| Provider Name | Terence D Schumpert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043279730 PECOS PAC ID: 3072592310 Enrollment ID: I20040719001262 |
| Provider Name | Susan E Dougherty |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295708774 PECOS PAC ID: 7719975226 Enrollment ID: I20040731000205 |
| Provider Name | Tahir Chauhdry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861444978 PECOS PAC ID: 0749252575 Enrollment ID: I20040811000716 |
| Provider Name | Rajan Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487735155 PECOS PAC ID: 5698679629 Enrollment ID: I20050107000100 |
| Provider Name | Thayaparan Mathanakaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891734430 PECOS PAC ID: 3173548161 Enrollment ID: I20051010000086 |
| Provider Name | Christopher J George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679559595 PECOS PAC ID: 5890709646 Enrollment ID: I20060201000654 |
| Provider Name | Ashokkumar J Kothari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265431332 PECOS PAC ID: 3870671159 Enrollment ID: I20080428000310 |
| Provider Name | Matthew R Cox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407017940 PECOS PAC ID: 8325100969 Enrollment ID: I20081216000592 |
| Provider Name | Salwat Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421399 PECOS PAC ID: 2163575705 Enrollment ID: I20090730000111 |
| Provider Name | David S Shulman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467451534 PECOS PAC ID: 9133176894 Enrollment ID: I20100219000248 |
| Provider Name | Fred H Lewis |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1093714230 PECOS PAC ID: 6507813268 Enrollment ID: I20100219000358 |
| Provider Name | Arthur S Greene |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003815200 PECOS PAC ID: 1153378815 Enrollment ID: I20100219000558 |
| Provider Name | William G Cihak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386643781 PECOS PAC ID: 6608823364 Enrollment ID: I20100219000622 |
| Provider Name | Thaddeus S Wojcik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508865601 PECOS PAC ID: 7113974874 Enrollment ID: I20100222000200 |
| Provider Name | Christa L Zenoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992039861 PECOS PAC ID: 6204967896 Enrollment ID: I20100625000486 |
| Provider Name | Robin C Aftuck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467553347 PECOS PAC ID: 3678697224 Enrollment ID: I20100902000960 |
| Provider Name | Ryann I Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952584914 PECOS PAC ID: 9537245105 Enrollment ID: I20100909000243 |
| Provider Name | Marti L Brotka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497053037 PECOS PAC ID: 0345424206 Enrollment ID: I20120320000217 |
| Provider Name | Prerna Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184956310 PECOS PAC ID: 4587814066 Enrollment ID: I20121018000007 |
| Provider Name | Jenna M Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124463500 PECOS PAC ID: 7113168022 Enrollment ID: I20130718000416 |
| Provider Name | Brad Pecherzewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487096384 PECOS PAC ID: 6305071291 Enrollment ID: I20131031000161 |
| Provider Name | Renee L Hansen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912337718 PECOS PAC ID: 8325276371 Enrollment ID: I20140121000248 |
| Provider Name | Candy Hull |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154750347 PECOS PAC ID: 7113155599 Enrollment ID: I20150713000878 |
| Provider Name | Pamela Hilliard-davis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871688606 PECOS PAC ID: 4587963483 Enrollment ID: I20160427001787 |
| Provider Name | Tressa Jordan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528301918 PECOS PAC ID: 2062791486 Enrollment ID: I20161108000169 |
| Provider Name | Sandy A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043671530 PECOS PAC ID: 9032498498 Enrollment ID: I20161108001490 |
| Provider Name | Karrie Kuhn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063921419 PECOS PAC ID: 5193086965 Enrollment ID: I20180220000460 |
| Provider Name | Sebastian S Wilk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619389475 PECOS PAC ID: 5698003341 Enrollment ID: I20190820001683 |
| Provider Name | Katie L Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447892872 PECOS PAC ID: 1759714025 Enrollment ID: I20191129000210 |
| Provider Name | Alexis K Niedermaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487288858 PECOS PAC ID: 0042640070 Enrollment ID: I20200415001774 |
| Provider Name | Pamela L Wiatrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558994608 PECOS PAC ID: 5193147544 Enrollment ID: I20200612001206 |
| Provider Name | Kamrie Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407378383 PECOS PAC ID: 8729353412 Enrollment ID: I20210113000271 |
| Provider Name | Catrina N Noniewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922604321 PECOS PAC ID: 6406261007 Enrollment ID: I20210211003207 |
| Provider Name | Arthur C Cacacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679970453 PECOS PAC ID: 2365851920 Enrollment ID: I20210511002322 |
Zafar K Mirza Gastroenterology Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2223 W State St, Suite 115, Olean, NY 14760 Phone: 716-372-5601 | |
Foothills Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-373-2600 | |
Zaheer U Babar, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2223 W State St, Suite 115, Olean, NY 14760 Phone: 716-372-5601 Fax: 716-372-5616 | |
Priya Mohanty Medical Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 W State St, Ste # 208, Olean, NY 14760 Phone: 716-790-8038 Fax: 716-790-8041 | |
Olean Medical Group Partnership Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Wayne St, Olean, NY 14760 Phone: 716-372-1570 Fax: 716-372-1556 | |
Universal Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 N Union St, Olean, NY 14760 Phone: 716-375-7500 Fax: 716-701-6853 | |
Olean Medical Group Coumadin Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Main St, Olean, NY 14760 Phone: 716-372-0141 Fax: 716-373-6632 |