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GREAT LAKES UROLOGY PLLC
NPI 1063203859
Urology in Cheektowaga, NY

Active since May 13, 2025
3085 HARLEM RD STE 200, CHEEKTOWAGA, NY 14225(716) 844-5000(716) 844-5750 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Urology Pllc NPPES

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

GREAT LAKES UROLOGY PLLC (NPI 1063203859) is a healthcare organization registered as an urology in Cheektowaga, New York and active in the NPI registry since May 2025. The organization lists K Kent Chevli, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1063203859
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGREAT LAKES UROLOGY PLLC
Location Address3085 HARLEM RD STE 200Cheektowaga, NY 14225-2591
Mailing Address3085 Harlem Rd Ste 350Cheektowaga, NY 14225-2591 · (716) 844-5600 · Fax (168) 445-7507
Phone(716) 844-5000
Fax(716) 844-5750
Organization SubpartNo
Authorized OfficialK Kent ChevliManaging Physician · (716) 844-5600
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1063203859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3085 HARLEM RD STE 200, Cheektowaga, NY 14225
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINA NICOLE TUNDO M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
SHANIA A TRIPPY PA
Physician Assistant
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
KARL-DIETRICH MAX GUSTAV SIEVERT
Urology
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
ELIZABETH CONNOR LOFTUS PA
Physician Assistant
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
DR. JOHN JOSEPH BODKIN III MD
Urology
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
BRIAN F DINERMAN MD
Urology
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
SARAH WARD M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
MAX JOHN ROEHMHOLDT MD
Urology
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000

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 Great Lakes Urology PLLC's NPI number?

The NPI number for Great Lakes Urology PLLC is 1063203859. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Great Lakes Urology PLLC located?

Great Lakes Urology PLLC is located at 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225. The listed phone number is (716) 844-5000.

What is Great Lakes Urology PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Urology PLLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.