NPIMap

Organization Active NPI

Olean General Hospital

  • Geriatric Psychiatry Physician
  • Olean, NY
National Provider Identifier
1700426418
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
OLEAN GENERAL HOSPITAL
Practice address
515 Main St
Olean, NY 14760-1513
Phone
(716) 373-2600
NPI assigned
Jan 10, 2020
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X Primary
Psychiatric Hospital Unit 273R00000X

Addresses

Primary practice location

515 Main St
Olean, NY 14760-1513

Mailing address

515 Main St
Olean, NY 14760-1513

Other identifiers 1

IdentifierTypeStateIssuer
33S103OtherNYMEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Gilbert N Witte MD17 organizations share this tax ID, including this one
Part of
Gilbert N Witte MD

Other organizations with this tax ID 16

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

View all 16

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1700426418",
    "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"
        },
        {
            "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": "2020-01-10",
        "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": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "33S103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2023; 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.