OLEAN MEDICAL GROUP WELLNESS (NPI# 1871889485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871889485 |
| Entity Type | Organization |
| Organization Name | OLEAN MEDICAL GROUP WELLNESS |
| Practice Address |
535 Main St Olean NY 14760-1500 |
| Practice Telephone | 7163720141 |
| Mailing Telephone | 7163720141 |
| Mailing Fax Number | 7163726421 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | KATHY SCOTT (ADMIN. ASSISTANT) |
| Authorized Official Telephone | 7163762203 |
| Is Organization Subpart | Y |
| Parent Organization Name | OLEAN MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
535 MAIN ST |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380242 | Othoniel Castro | Psychiatry & Neurology | 535 Main St, Olean, NY 14760-1513 | 2005-07-18 |
| 1962979419 | Tamara L Chaffee | Midwife | 535 Main St, Olean, NY 14760-1500 | 2018-11-01 |
| 1902304066 | Matthew Wayne Ring | Nurse Practitioner | 535 Main St, Olean, NY 14760-1500 | 2018-01-24 |
| 1851743066 | Michelle Marie Christie | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2016-07-12 |
| 1629470265 | Mattison Baker | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2014-09-25 |
| 1912337718 | Renee Hansen | Midwife | 535 Main St, Olean, NY 14760-1500 | 2013-11-15 |
| 1528301918 | Tressa M Jordan | Podiatrist | 535 Main St, Olean, NY 14760-1500 | 2013-04-03 |
| 1003152174 | Neha Bansal | Internal Medicine | 535 Main St, Olean, NY 14760-1500 | 2012-12-18 |
| 1861765331 | Christine Ann Wild | Nurse Practitioner | 535 Main St, Olean, NY 14760-1500 | 2012-02-14 |
| 1942584180 | Kathryn Anne Nelson | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2011-10-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1205020245 | Keith A Gembusia | Family Medicine | 401 N. 8th St., Olean, NY 14760 | 2007-09-04 |
| 1427045665 | William Fowler Mills | Family Medicine | 500 Main Street, Olean, NY 14760 | 2005-10-03 |
| 1205363322 | Sarmad Iqbal Baloch | Family Medicine | 135 N Union St, Olean, NY 14760-2736 | 2017-05-19 |
| 1962819813 | Robert Richard Haas | Family Medicine | 135 N Union St, Olean, NY 14760 | 2014-07-11 |
| 1649600081 | Health System Physician PC | Family Medicine | 434 N 9th St, Olean, NY 14760-2214 | 2013-11-21 |
| 1548694862 | Aparna Ramchandran | Family Medicine | 2666 W State St, Olean, NY 14760-1825 | 2013-08-22 |
| 1124380936 | Joshua Ferrell | Family Medicine | 135 N Union St, Olean, NY 14760-2736 | 2012-06-08 |
| 1548536758 | Ronan Daniel O'leary | Family Medicine | 135 N Union St, Olean, NY 14760-2736 | 2012-04-02 |
| 1609190560 | Marianna Worczak | Family Medicine | 535 Main St, Ste 1, Olean, NY 14760-1500 | 2010-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.