Great Lakes Physician Practice PC
NPI 1730599176 · Internal Medicine Physician · Jamestown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Physician Practice PC is a Internal Medicine Physician organization in Jamestown, NY (NPI 1730599176).
Provider details
- NPI number
- 1730599176
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Devlin, Sr.director(412) 432-7469
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-07
- Last updated
- 2020-02-03
- Certified
- 2020-02-03
Frequently asked questions
- What is Great Lakes Physician Practice PC's NPI number?
- Great Lakes Physician Practice PC's National Provider Identifier (NPI) is 1730599176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Physician Practice PC?
- Great Lakes Physician Practice PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Physician Practice PC located?
- Great Lakes Physician Practice PC's practice location on file with NPPES is 15 S Main St, Jamestown, NY 14701-6626.
- What is Great Lakes Physician Practice PC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Physician Practice PC is (716) 488-1877.
- Does Great Lakes Physician Practice PC accept Medicare?
- Great Lakes Physician Practice PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Physician Practice PC?
- The authorized official listed on Great Lakes Physician Practice PC's NPPES record is Patricia Devlin, Sr.director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Physician Practice PC's NPI active?
- Yes — Great Lakes Physician Practice PC's NPI (1730599176) is active in the NPPES registry as of the last update on 2020-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.