Wolf-dieter Krahn (NPI# 1215961347, PAC ID# 6204828783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215961347 |
| PAC ID by PECOS | 6204828783 |
| Professional Enrollment ID | I20100505001090 |
| Full Name | Wolf-dieter Krahn |
| Organization Legal Name | GREAT LAKES PHYSICIAN PRACTICE PC |
| Address |
31 Sherman St Suite 2400 Jamestown NY 14701-7082 |
| Phone Number | 8144835306 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709007701 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330239 | UPMC CHAUTAUQUA WCA |
| 390063 | UPMC HAMOT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 207 Foote Ave, Jamestown, NY 14701-7077 | 7164870141 | CHAUTAUQUA ECG SVC INC |
| 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 | 8144835306 | GREAT LAKES PHYSICIAN PRACTICE PC |
| Organization Legal Name | GREAT LAKES PHYSICIAN PRACTICE PC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Currie | Nurse Practitioner | Great Lakes Physician Practice PC | 322 Park Ave, Dunkirk, NY 14048-2237 |
| Michael Guilding Pita | Internal Medicine | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Sarah Gallagher | Physician Assistant | Great Lakes Physician Practice PC | 12 Ctr St, Fredonia, NY 14063-1769 |
| Melissa M Ranney | Physician Assistant | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6627 |
| Patrick S Collins | Family Medicine | Great Lakes Physician Practice PC | 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 |
| Shakeel Ahmad | Internal Medicine | Great Lakes Physician Practice PC | 113 Main St, Silver Creek, NY 14136-1452 |
| Robert J Bailey | Family Medicine | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Dorcas I Lacayo-allen | Family Medicine | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Gaurav Ahluwalia | Internal Medicine | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Timothy C Brown | General Surgery | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Street Address |
31 SHERMAN ST SUITE 2400 |
| City | JAMESTOWN |
| State | NY |
| Zip | 14701-7082 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick S Collins | Family Medicine | Great Lakes Physician Practice PC | 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 |
| Jacquelyn R Peterson | Physician Assistant | Great Lakes Physician Practice PC | 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 |
| Diane Mueller | Family Medicine | Great Lakes Physician Practice PC | 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 |
| Randall B Sam | Nurse Practitioner | Great Lakes Physician Practice PC | 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 |
| Andrea M Johnson | Family Medicine | Great Lakes Physician Practice PC | 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 |
| Alexander Z Selioutski | Family Medicine | Family Health Medical Services Pllc | 31 Sherman St, Suite 2200, Jamestown, NY 14701-7085 |
| Michael S Mikita | Physician Assistant | Great Lakes Physician Practice PC | 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 |
| Lisa A Erickson | Nurse Practitioner | Great Lakes Physician Practice PC | 31 Sherman St, Jamestown, NY 14701-7082 |
| Brian Declan Meagher | Diagnostic Radiology | Jamestown Radiologists, P.C. | 31 Sherman St, Jamestown, NY 14701-7079 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara I Gibbs | Optometry | 779 Fairmont Ave, Jamestown, NY 14701 | |
| Albert J Persia | Family Medicine | Family Health Medical Services Pllc | 715 Falconer St, Jamestown, NY 14701-1935 |
| Carol Wright | Clinical Social Worker | County of Chautauqua - A Mun Corp | 139 Buffalo St, Jamestown, NY 14701-2149 |
| Jennifer Wolfe | Clinical Social Worker | County of Chautauqua - A Mun Corp | 139 Buffalo St, Jamestown, NY 14701-2149 |
| Kristin Saunders | Clinical Social Worker | County of Chautauqua - A Mun Corp | 139 Buffalo St, Jamestown, NY 14701-2149 |
| Karen Mary Dillon | Clinical Social Worker | County of Chautauqua - A Mun Corp | 139 Buffalo St, Jamestown, NY 14701-2149 |
| Vivien L Redeye | Family Medicine | Family Health Medical Services Pllc | 42 Dunham Ave, Jamestown, NY 14701-2514 |
| Katherine Meleen | Nurse Practitioner | Family Health Medical Services Pllc | 42 Dunham Ave, Jamestown, NY 14701-2514 |
| Elizabeth Gattman | Nurse Practitioner | Family Health Medical Services Pllc | 42 Dunham Ave, Jamestown, NY 14701-2514 |
| Kristin Sue Anderson-taylor | Physician Assistant | Family Health Medical Services Pllc | 42 Dunham Ave, Jamestown, NY 14701-2514 |
| Find all physicians in zip 14701 | |||
| City | JAMESTOWN |
| Zip Code | 14701 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JAMESTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wolf-dieter Krahn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.