NPIMap

Organization Active NPI

Olean General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Olean, NY
National Provider Identifier
1699715904
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0401001H Issued in 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
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OLEAN GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Jill M. Owens, MD
Title
Ceo
Phone
(716) 373-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0401001H NY Primary

Addresses

Primary practice location

515 Main St
Olean, NY 14760-1513

Mailing address

515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1699715904. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
515 Main St
Olean, NY 14760-1513
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric, Short-term

Hospital certification: CCN 33U103

Legal name
OLEAN GENERAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jul 13, 1898 in NY
Enrollment address
515 Main St
Olean, NY 14760-1513
Hospital Swing-Bed Unit
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Olean General HospitalCCN 330103 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Syed N Raza MD

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Prince Individual Corporate Director Sep 1, 2009
Corporate Director Nov 1, 2012
Lisa Fiorentino Individual Corporate Director Jan 1, 2019
Julie Marasco Individual Corporate Director Jan 1, 2019
Richard Esch Individual Corporate Director Jan 1, 2025
Daniel Derose Individual Corporate Director Jan 1, 2019
Carolyn Newhouse Individual Corporate Director Jan 1, 2025
Douglas Pisano Individual Corporate Director Jan 1, 2019
Bradley J Chapman Individual Corporate Officer Jan 1, 2025
Corporate OfficerPresident Jan 1, 2025
Katie Jean Kaus O'Connell Individual Corporate OfficerVP Revenue Jun 1, 2022
Operational/Managerial ControlVP Revenue May 1, 2022
Corporate OfficerVP Revenue Cycle Jun 1, 2022
Operational/Managerial Control Jun 1, 2022
Shabir Bhayani Individual Corporate Director Jan 1, 2025
Zafar K Mirza Individual Corporate Director Jan 1, 2025
Liselle Esposito Individual Corporate DirectorTreasurer Jan 1, 2025
Muhammed Javed Individual Corporate Director Nov 5, 2009
Corporate Director Nov 1, 2012
Gilbert Witte Individual Corporate Director Jan 1, 2022
Marc Boutillette Individual Corporate Director Jan 1, 2022
David Ferguson Individual Corporate Director Jan 1, 2022
Melissa Scholl Individual Corporate Director Jan 1, 2019
Anil Pradhan Individual Corporate Director Jan 1, 2019
Jeffrey C Belt Individual Corporate DirectorPresident of the Board Jan 1, 2019
Rosalie a Rogers Individual Corporate DirectorCredentialing Specialist Aug 29, 2025
Jeannine Schoenecker Individual Corporate Director Feb 1, 2014
Paul Ridley Individual Corporate Director Jan 1, 2019

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 423

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 423

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1699715904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601513",
            "telephone_number": "716-373-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601513",
            "telephone_number": "716-373-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEAN GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLEAN GENERAL HOSPITAL",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-373-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NY",
            "license": "0401001H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.