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GENERAL PHYSICIAN, PC
NPI 1003566233
Clinic/Center in Ellicottville, NY

Active since March 29, 2022CLIA Certified · 3 labs
6133 ROUTE 219 S STE 1006, ELLICOTTVILLE, NY 14731(716) 699-4332 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About General Physician, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENERAL PHYSICIAN, PC (NPI 1003566233), doing business as Olean Medical Group, is a healthcare organization registered as a clinic/center in Ellicottville, New York and active in the NPI registry since March 2022. The organization holds 3 active CLIA laboratory certificates and lists Tabitha Abraham, Director, as its authorized official.

NPPES Registry Identity

NPI1003566233
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENERAL PHYSICIAN, PC
Location Address6133 ROUTE 219 S STE 1006Ellicottville, NY 14731-9613
Mailing Address535 Main StOlean, NY 14760-1500 · (716) 372-0141 · Fax (585) 625-0100
Phone(716) 699-4332
Organization SubpartYesParent: Kaleida Health
Authorized OfficialTabitha AbrahamDirector · (716) 533-4728
Enumeration DateMarch 29, 2022
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1003566233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6133 ROUTE 219 S STE 1006, Ellicottville, NY 14731
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Other Names 1

Doing Business AsOlean Medical Group

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2323534

General Physician PC · Olean, NY
Active · expires May 29, 2028
CLIA Number33D2323534
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorTahir A. Chauhdry
Laboratory Phone(716) 372-0141
Laboratory LocationGeneral Physician PC535 Main Street, Olean, NY 14760
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 33D1021989

General Physician PC · Ellicottville, NY
Active · expires Feb 3, 2028
CLIA Number33D1021989
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorDr. Richard E. Charles
Laboratory Phone(716) 699-4332
Laboratory LocationGeneral Physician PC6133 Route 219 Suite 1006, Ellicottville, NY 14731
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2192492

General Physician PC Dba Great Lakes Cardiology · Olean, NY
Active · expires Sep 9, 2026
CLIA Number33D2192492
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorDr. Vijay S. Iyer
Laboratory Phone(716) 373-3544
Laboratory LocationGeneral Physician PC Dba Great Lakes Cardiology401 North 8th Street, Olean, NY 14760
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is General Physician, PC's NPI number?

The NPI number for General Physician, PC is 1003566233. It was assigned to this organization in the NPPES registry on March 29, 2022. The provider is doing business as Olean Medical Group.

Where is General Physician, PC located?

General Physician, PC is located at 6133 Route 219 S Ste 1006, Ellicottville, NY 14731. The listed phone number is (716) 699-4332.

What is General Physician, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does General Physician, PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for General Physician, PC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.