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GENERAL PHYSICIAN, PC
NPI 1093959322
General Practice in Dunkirk, NY

Active since April 30, 2009CLIA 33D2009210 · Microscopy
3898 VINEYARD DR, DUNKIRK, NY 14048(716) 692-3302 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2022, Sep 23, 2019 (2 updates tracked since 2019).

About General Physician, Pc NPPES

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

GENERAL PHYSICIAN, PC (NPI 1093959322) is a healthcare organization registered as a general practice in Dunkirk, New York and active in the NPI registry since April 2009. The organization holds a CLIA Microscopy certificate valid through February 1, 2028 and lists Michael Mineo, Director, as its authorized official.

NPPES Registry Identity

NPI1093959322
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGENERAL PHYSICIAN, PC
Location Address3898 VINEYARD DRDunkirk, NY 14048-3559
Mailing AddressPo Box 488Buffalo, NY 14240-0488 · (203) 944-1940 · Fax (203) 402-4192
Phone(716) 692-3302
Organization SubpartNo
Authorized OfficialMichael MineoDirector · (716) 859-8831
Enumeration DateApril 30, 2009
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1093959322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3898 VINEYARD DR, Dunkirk, NY 14048
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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

CLIA Laboratory Certificates CMS CLIA

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) 33D2009210

General Physician, PC · Dunkirk, NY
Active · expires Feb 1, 2028
CLIA Number33D2009210
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorDr. Taylor E. Johnson
Laboratory Phone(716) 656-4077
Laboratory LocationGeneral Physician, PC3898 Vineyard Drive, Dunkirk, NY 14048
CLIA data matches this NPI record on: Address Name
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.

Other Providers at the Same Location NPPES 7

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

KEILEN LEIGH-ANN SAM
Nurse Practitioner (Family)
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-2233
MAXIM MITCHELL MD
Family Medicine
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 646-5500
TAT SUM LEE, M.D.
Internal Medicine
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-1515
DR. STEPHEN PETER SMITH M.D.
Internal Medicine
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-1515
DR. TAT- SUM LEE M.D.
Family Medicine
3898 VINEYARD DR, SUITE 3
DUNKIRK, NY 14048
Chautauqua County (716) 363-1515
MRS. KATELYN RENEE HEIST FNP-BC
Nurse Practitioner (Family)
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-6960
DR. JAMES JOSEPH CIRBUS MD
Internal Medicine (Cardiovascular Disease)
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-6960

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 1093959322. It was assigned to this organization in the NPPES registry on April 30, 2009.

Where is General Physician, PC located?

General Physician, PC is located at 3898 Vineyard Dr, Dunkirk, NY 14048. The listed phone number is (716) 692-3302.

What is General Physician, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does General Physician, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2009210) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for General Physician, PC was last updated on December 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.