NPIMap

Organization Active NPI

General Physician, PC

Doing business as Olean Medical Group

  • Multi-Specialty Clinic/Center
  • Olean, NY
National Provider Identifier
1679223366
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GENERAL PHYSICIAN, PC
Doing business as
Olean Medical Group
Practice address
535 Main St
Olean, NY 14760-1500
Phone
(716) 372-0141
NPI assigned
Mar 25, 2022
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KALEIDA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Tabitha Abraham
Title
Director
Phone
(716) 533-4728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

535 Main St
Olean, NY 14760-1500

Mailing address

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

Other practice location 1

12 S Main St
Franklinville, NY 14737-1224
Phone (716) 676-2212

Other practice location 2

449 Broad St
Salamanca, NY 14779-1455
Phone (716) 945-4770

Other practice location 3

45 W Main St
Cuba, NY 14727-1403
Phone (585) 968-1628

Other practice location 4

6133 Route 219 S Ste 1006
Ellicottville, NY 14731-9613
Phone (716) 699-4332

Other practice location 5

14 Center St
Cuba, NY 14727-1002
Phone (585) 968-3210

Other names 1

  • Olean Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220603000542 NY Part B Supplier - Clinic/Group Practice 0042698045 Receives reassigned benefits from 91 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cuba, NY; Ellicottville, NY; Franklinville, NY; Olean, NY; Salamanca, NY
O20230306002573 PA Part B Supplier - Clinic/Group Practice 0042698045 Receives reassigned benefits from 4 practitioners
Practice locations: Bradford, PA; Russell, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2090748General Physician PC449 Broad Street, Salamanca, NY 14779Certificate of waiverJan 28, 2027
33D2323534General Physician PC535 Main Street, Olean, NY 14760Provider-performed microscopyMay 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lakeshore Family Medici3 organizations share this tax ID, including this one
Part of
Susan M Wright

Other organizations with this tax ID 2

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

Locations

6133 Route 219 S
Ste 1006
Ellicottville, NY 14731
Phone (716) 686-1212

12 S Main St
Franklinville, NY 14737
Phone (716) 676-2212

515 Main St
Olean, NY 14760
Phone (716) 373-2600

535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141

449 Broad St
Ste 1
Salamanca, NY 14779
Phone (716) 945-4770

449 Broad St
Ste 2
Salamanca, NY 14779

300 Campus Dr
Bradford, PA 16701

Practitioners & affiliated clinicians

Practitioners 97

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.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1679223366",
    "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": "585-625-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601500",
            "telephone_number": "716-372-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 S Main St",
            "address_purpose": "LOCATION",
            "city": "Franklinville",
            "state": "NY",
            "postal_code": "147371224",
            "country_code": "US",
            "telephone_number": "716-676-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "449 Broad St",
            "address_purpose": "LOCATION",
            "city": "Salamanca",
            "state": "NY",
            "postal_code": "147791455",
            "country_code": "US",
            "telephone_number": "716-945-4770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cuba",
            "state": "NY",
            "postal_code": "147271403",
            "country_code": "US",
            "telephone_number": "585-968-1628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6133 Route 219 S Ste 1006",
            "address_purpose": "LOCATION",
            "city": "Ellicottville",
            "state": "NY",
            "postal_code": "147319613",
            "country_code": "US",
            "telephone_number": "716-699-4332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Center St",
            "address_purpose": "LOCATION",
            "city": "Cuba",
            "state": "NY",
            "postal_code": "147271002",
            "country_code": "US",
            "telephone_number": "585-968-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENERAL PHYSICIAN, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KALEIDA HEALTH",
        "enumeration_date": "2022-03-25",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-533-4728"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olean Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.

Verify at the official NPI Registry.