Active NPI
General Physician, PC
- General Practice Physician
- Dunkirk, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- GENERAL PHYSICIAN, PC
- Practice address
- 3898 Vineyard Dr
Dunkirk, NY 14048-3559 - Phone
- (716) 692-3302
- NPI assigned
- Apr 30, 2009
- Last updated
- Dec 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Mineo, MD
- Title
- Director
- Phone
- (716) 859-8831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3898 Vineyard Dr
Dunkirk, NY 14048-3559
Mailing address
PO Box 488
Buffalo, NY 14240-0488
Phone (203) 944-1940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2009210 | General Physician, PC | Provider-performed microscopy | Feb 1, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations (25 of 117)
100 High St
#10S
Buffalo, NY 14203
100 High St
#2
Buffalo, NY 14203
100 High St
#A2
Buffalo, NY 14203
100 High St
#B3
Buffalo, NY 14203
100 High St
#B421
Buffalo, NY 14203
Phone (716) 859-2605
100 High St
#C3
Buffalo, NY 14203
Phone (716) 859-2243
100 High St
#D3
Buffalo, NY 14203
Phone (716) 859-1168
100 High St
#X
Buffalo, NY 14203
100 High St
Bldg 6
Buffalo, NY 14203
100 High St
Fl 5
Buffalo, NY 14203
100 High St
Rm 624
Buffalo, NY 14203
100 High St
Ste B3
Buffalo, NY 14203
100 High St
Ste D1
Buffalo, NY 14203
Phone (716) 884-3000
1091 Main St
Buffalo, NY 14209
Phone (716) 242-8200
1091 Main St
Ste 3
Buffalo, NY 14209
1091 Main St
Ste 30
Buffalo, NY 14209
1091 Main St
Ste 301
Buffalo, NY 14209
Phone (716) 248-1420
1091 Main St
Ste 301GP
Buffalo, NY 14209
11 Summer St
#2W
Buffalo, NY 14209
Phone (716) 248-1420
11 Summer St
Ste 2W
Buffalo, NY 14209
1901 Main St
Fl 3
Buffalo, NY 14208
1901 Main St
Ste 301
Buffalo, NY 14208
2218 Main St
Buffalo, NY 14214
Phone (716) 834-4141
237 Linwood Ave
#1
Buffalo, NY 14209
Phone (716) 884-8018
237 Linwood Ave
#2
Buffalo, NY 14209
Practitioners & affiliated clinicians
Practitioners 968
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.
-
- Cardiovascular Disease Physician
- Buffalo, NY
- NPI 1164834776
-
- Hospitalist Physician
- Buffalo, NY
- NPI 1770226102
-
- Colon & Rectal Surgery Physician
- Williamsville, NY
- NPI 1649461401
-
- Internal Medicine Physician
- Kenmore, NY
- NPI 1427112291
-
- Registered Dietitian
- Williamsville, NY
- NPI 1962858621
-
- Hospitalist Physician
- Williamsville, NY
- NPI 1316180896
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1639818321
-
- Gynecologic Oncology Physician
- Buffalo, NY
- NPI 1639204829
-
- Hematology & Oncology Physician
- Rochester, NY
- NPI 1255991592
-
- Obstetrics & Gynecology Nurse Practitioner
- East Aurora, NY
- NPI 1235180621
-
- Family Nurse Practitioner
- Williamsville, NY
- NPI 1437878113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1093959322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142400488",
"telephone_number": "203-944-1940",
"fax_number": "203-402-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3898 VINEYARD DR",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140483559",
"telephone_number": "716-692-3302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERAL PHYSICIAN, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-30",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"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_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.