Great Lakes Physician Practice PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREAT LAKES PHYSICIAN PRACTICE PC

Practice address

113 Main St
Silver Creek, NY 14136-1452

Phone

(716) 934-3641

Fax

(716) 934-7443

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Mark T Ehalt

Title

Director

Phone

(412) 647-0943

Specialties & licenses 1

Addresses

Other names 1

• ERAM CHAUDHRY MD Other name

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1548668585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141361452",
            "telephone_number": "716-934-3641",
            "fax_number": "716-934-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141361452",
            "telephone_number": "716-934-3641",
            "fax_number": "716-934-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES PHYSICIAN PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "EHALT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-647-0943"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERAM CHAUDHRY MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Nicole Eckstrom, BCBA, LBA
• David L. Farrugia, ED.D.
• John M Ford, OPTICIAN
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• Rachel Anne Galenda, PHARM D.
• Matthew Steven Haintz
• Gina Hallmark
• Lisa Marie Henry
• John Mulawka DO PC
• Chelsey Kaminski, PT, DPT

• Internal Medicine Physician in Silver Creek, NY
• Providers in Silver Creek, 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 Dec 8, 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.