NPIMap

Organization Active NPI

Olean Medical Group Partnership

  • Clinic/Center
  • Salamanca, NY
National Provider Identifier
1194122382
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OLEAN MEDICAL GROUP PARTNERSHIP
Practice address
449 Broad St
Salamanca, NY 14779-1455
Phone
(716) 945-4770
Fax
(716) 945-2393
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Fred H Lewis, M.D.
Title
Chairman, Executive Board
Phone
(716) 372-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

449 Broad St
Salamanca, NY 14779-1455

Mailing address

535 Main St
Olean, NY 14760-1500
Phone (716) 372-0141

National Provider Directory

National Provider Directory
Tax ID family
Olean Medical GRP DME7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1194122382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601500",
            "telephone_number": "716-372-0141",
            "fax_number": "716-372-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 BROAD ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791455",
            "telephone_number": "716-945-4770",
            "fax_number": "716-945-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEAN MEDICAL GROUP PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHAIRMAN, EXECUTIVE BOARD",
        "authorized_official_telephone_number": "716-372-0141",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salamanca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.