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

Jeremy Webster

Individual provider Physician Assistant · NPI 1316496730

Jeremy Webster is a Physician Assistant in Jamestown, New York. Qualified in 2016, 10 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016

Practice location Address checks out

207 Foote Ave
Jamestown, NY 14701-7077
Phone: (716) 664-8120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 219611 (NY)

Record details

NPI number1316496730
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2016
Last updated in NPPESJune 15, 2021
Certification dateMarch 27, 2020
Mailing address207 Foote Ave, Jamestown, NY 14701-7077

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jamestown