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

Dr. George L So, MD

Individual provider Cardiovascular Disease Physician · NPI 1154360147

Dr. George L So, MD is a Cardiovascular Disease (Cardiology) in Jamestown, New York. Qualified in 1980, 46 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
46
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 S Main St Ste 110 - Cardiology
Jamestown, NY 14701-6626
Phone: (716) 483-2320
Fax: (716) 484-2582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 227234-01 (NY)

Record details

NPI number1154360147
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJanuary 25, 2024
Certification dateJune 2, 2021
Mailing address15 S Main St, Suite 110 - Cardiology, Jamestown, NY 14701-6626

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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