NPIMap

Organization Active NPI

General Physician, PC

Doing business as Olean Medical Group

  • Clinic/Center
  • Cuba, NY
National Provider Identifier
1700528213
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GENERAL PHYSICIAN, PC
Doing business as
Olean Medical Group
Practice address
45 W Main St
Cuba, NY 14727-1403
Phone
(585) 968-1628
NPI assigned
Apr 13, 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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

45 W Main St
Cuba, NY 14727-1403

Mailing address

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

Other names 1

  • Olean Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Lakeshore Family Medici3 organizations share this tax ID, including this one
Part of
Jack P Freer

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1700528213",
    "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": "45 W MAIN ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271403",
            "telephone_number": "585-968-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL PHYSICIAN, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KALEIDA HEALTH",
        "enumeration_date": "2022-04-13",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olean Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuba, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.