General Physician, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GENERAL PHYSICIAN, PC

Practice address

5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291

Phone

(716) 422-5677

NPI assigned

Nov 12, 2024

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Mineo, MD

Title

Director

Phone

(716) 859-8831

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lakeshore Family Med As3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• General Physician, PC

  dba Olean Medical Group

  • Multi-Specialty Clinic/Center
  • Olean, NY
  • NPI 1679223366
  NPD tax ID
• General Physician, PC

  dba Olean Medical Group

  • Clinic/Center
  • Cuba, NY
  • NPI 1700528213
  NPD tax ID

Locations

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Abubakr, M.D.

  • Hospitalist Physician
  • Buffalo, NY
  • NPI 1770226102
  NPD
• Mohammed Numaan Ahmed, MD

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1639818321
  NPD
• Arroj Ali, DO

  • Cardiovascular Disease Physician
  • Williamsville, NY
  • NPI 1124588983

  Multi-Specialty

  NPD
• Saadat S Badruddin, MD

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1194461079
  NPD
• Chelsea L Ballard, NP

  • Adult Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1861196677
  NPD
• Masihullah Barat, MD

  • Cardiovascular Disease Physician
  • Buffalo, NY
  • NPI 1346802535
  NPD
• Andrew Berg, D.O.

  • Internal Medicine Physician
  • Orchard Park, NY
  • NPI 1811637101
  NPD
• Siobhan Boland, NP

  • Primary Care Nurse Practitioner
  • Orchard Park, NY
  • NPI 1356220073
  NPD
• Katherine Susanne Bonito, PA-C

  • Surgical Physician Assistant
  • Buffalo, NY
  • NPI 1316460413
  NPD
• Nicole Boyd, ANP

  • Adult Health Nurse Practitioner
  • Amherst, NY
  • NPI 1225713993
  NPD
• Jasmeet Brar, NP

  • Acute Care Nurse Practitioner
  • Buffalo, NY
  • NPI 1427928696
  NPD
• Maria Elizabeth Brzozowski, MD

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1548849169
  NPD

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1063236529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 EXCHANGE ST STE 710",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101464",
            "telephone_number": "716-852-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 BIG TREE RD STE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272291",
            "telephone_number": "716-422-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "MINEO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-859-8831",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber C Gawera
• Jacob Gawronski, DPT
• Gaymar Industries Inc
• Charles Geary, PT
• Ronald Warren Gefaller, D.C.
• Jina Gentry
• Ellen George, MSW
• Stephen George
• Kara A Gerace
• Ashley Geraghty, RN

• Internal Medicine Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.