Olean General Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Olean, NY
NPI 1699715904 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1699715904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 0401001H (NY)
- Legal business name
- OLEAN GENERAL HOSPITAL
- Practice address
- 515 Main St
Olean, NY 14760-1513 - Phone
- (716) 373-2600
- NPI assigned
- Jun 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- OLEAN GENERAL HOSPITAL
Authorized official
- Name
- Jill M. Owens, MD
- Title
- Ceo
- Phone
- (716) 373-2600
Owners & managing parties with NPI records 4
-
Muhammed Tahir Javed, M.D.
-
Zafar K Mirza, MD
-
Gilbert Witte, M.D.
-
Anil Pradhan, MD
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 10
Related certifications (CCN) 4
Practitioners 78
-
Amandeep Singh, MD
-
Sarmad Baloch, MD
-
Arthur Cacacho, M.D.
-
Zahid M Chohan, MD PC
-
Susan Mae Daoust, M.D.
-
Brian F Dinerman, MD
-
Ashima Dogra, MD
-
Rhonda Francis, FNP
-
Stefania Fynn-Aikins, PMH NP
-
Mary Elizabeth Garrison, PA-C
-
Hari Gopal, M.D.
-
Sarah Maria Heidler, PA-C
-
Devon Huff, M.D.
-
Muhammed Tahir Javed, M.D.
-
Robert Lee Jones, MD
Affiliated clinicians 423
-
Lalarukh Aftab, MD
-
Affan Ahmad, MD
-
Imad Muzaffar Ahmed, M.D
-
Bela Ajtai, MD, PHD
-
Uzma Alam, MD
-
Ann Anderson, RPA-C
-
Eric David Arnone, M.D.
-
Nabila Fatima Azam, M.D
-
Sarmad Baloch, MD
-
Ashley Norell Bartz, RPA-C
-
Joseph M Beang, RPAC
-
Kurt T Benham, MD
-
Assaf Berger, MD
-
Thomas Bevilacqua, M.D.
-
Kimberly Bielata, CRNP
-
Kirsten Bishop, PA
-
Noah C Bourne, DNP, AGPCNP-BC
Medicare Care Compare: Hospital
- Listed as
- Olean General Hospital
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Hospital certification: CCN 330103
- Legal name
- OLEAN GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 26, 2022
- Beds
- 186
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 515 Main St
Olean, NY 14760-1513 - Hospital subgroups
- General, Acute care, Psychiatric, Short-term
Hospital certification: CCN 33U103
- Legal name
- OLEAN GENERAL HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 13, 1898 in NY
- Enrollment address
- 515 Main St
Olean, NY 14760-1513 - Hospital subgroups
- General
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| David Prince |
Corporate Director | Sep 1, 2009 | |
| Corporate Director | Nov 1, 2012 | ||
| Lisa Fiorentino |
Corporate Director | Jan 1, 2019 | |
| Julie Marasco |
Corporate Director | Jan 1, 2019 | |
| Richard Esch |
Corporate Director | Jan 1, 2025 | |
| Daniel Derose |
Corporate Director | Jan 1, 2019 | |
| Carolyn Newhouse |
Corporate Director | Jan 1, 2025 | |
| Douglas Pisano |
Corporate Director | Jan 1, 2019 | |
| Bradley J Chapman |
Corporate Officer | Jan 1, 2025 | |
| Corporate Officer |
Jan 1, 2025 | ||
| Katie Jean Kaus O'Connell |
Corporate Officer |
Jun 1, 2022 | |
| Operational/Managerial Control |
May 1, 2022 | ||
| Corporate Officer |
Jun 1, 2022 | ||
| Operational/Managerial Control | Jun 1, 2022 | ||
| Shabir Bhayani |
Corporate Director | Jan 1, 2025 | |
| Zafar K Mirza |
Corporate Director | Jan 1, 2025 | |
| Liselle Esposito |
Corporate Director |
Jan 1, 2025 | |
| Muhammed Javed |
Corporate Director | Nov 5, 2009 | |
| Corporate Director | Nov 1, 2012 | ||
| Gilbert Witte |
Corporate Director | Jan 1, 2022 | |
| Marc Boutillette |
Corporate Director | Jan 1, 2022 | |
| David Ferguson |
Corporate Director | Jan 1, 2022 | |
| Melissa Scholl |
Corporate Director | Jan 1, 2019 | |
| Anil Pradhan |
Corporate Director | Jan 1, 2019 | |
| Jeffrey C Belt |
Corporate Director |
Jan 1, 2019 | |
| Rosalie a Rogers |
Corporate Director |
Aug 29, 2025 | |
| Jeannine Schoenecker |
Corporate Director | Feb 1, 2014 | |
| Paul Ridley |
Corporate Director | Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051114000562 | NY | Part a Provider - Hospital | 9133111784 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salamanca, NY; Olean, NY; Delevan, NY |
| O20060613000268 | NY | Part a Provider - Hospital | 9133111784 | Practice locations: Olean, NY; Salamanca, NY |
National Provider Directory
- Part of
- Gilbert N Witte MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 0401001H | NY | Yes |
Addresses
Primary practice location
515 Main St
Olean, NY 14760-1513
Mailing address
515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600
Other providers in Olean, NY
- Olean Dental
- Olean Family Chiropractic, PLLC
- Olean General Healthcare Systems, LLC
- Olean General Hospital
- Olean General Hospital
- Olean General Hospital
- Olean General Hospital
- Olean General Hospital
- Olean Medical Group
- Olean Medical Group Coumadin Clinic
All providers in Olean, NY · Medicare Defined Swing Bed Hospital Unit in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.