Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Physician Practice PC

Organization Emergency Medicine Physician · NPI 1730599176

Great Lakes Physician Practice PC is an Emergency Medicine Physician in Jamestown, New York. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
11
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 S Main St
Jamestown, NY 14701-6626
Phone: (716) 488-1877
Fax: (716) 488-1986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1730599176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Devlin — Sr.Director · (412) 432-7469
NPI enumeratedMay 7, 2014
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020
Mailing address15 S Main St, Jamestown, NY 14701-6626

Other providers in Jamestown