GREAT LAKES OTOLARYNGOLOGY PC
NPI 1588600522
Otolaryngology in Olean, NY

Active since June 20, 2006
2223 W STATE ST, SUITE 102, OLEAN, NY 14760(716) 692-3302(716) 692-4342 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Great Lakes Otolaryngology Pc NPPES

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

GREAT LAKES OTOLARYNGOLOGY PC (NPI 1588600522) is a healthcare organization registered as an otolaryngology in Olean, New York and active in the NPI registry since June 2006. The organization lists Daniel C. Lai, President, as its authorized official.

NPPES Registry Identity

NPI1588600522
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameGREAT LAKES OTOLARYNGOLOGY PC
Location Address2223 W STATE ST, SUITE 102Olean, NY 14760-1938
Mailing Address2223 W State St, Suite 102Olean, NY 14760-1938 · (716) 692-3302 · Fax (716) 692-4342
Fax(716) 692-4342
Organization SubpartNo
Authorized OfficialDaniel C. LaiPresident · (716) 372-7205
Enumeration DateJune 20, 2006
Last NPPES UpdateJune 26, 2008
✔ NPI 1588600522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2223 W STATE ST, Olean, NY 14760

Other Identifiers 2

Medicare PINBA0642NY
Medicaid02079463NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Otolaryngology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Great Lakes Otolaryngology PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Otolaryngology
NPI 1164485280
2223 W STATE ST SUITE 102
Olean, NY 14760
(716) 372-7205
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730798356
2223 WEST STREET
Olean, NY 14760
(716) 372-7205
✔ PECOS✔ Accepts Medicare2.1 mi
Qualified Audiologist
NPI 1609038876
1 TIMBERVIEW LN
Russell, PA 16345
(814) 723-6550
36 mi
Nurse Practitioner
NPI 1124165824
21 PORTER AVE
Jamestown, NY 14701
(716) 664-1909
✔ PECOS✔ Accepts Medicare41 mi
Qualified Audiologist
NPI 1760579775
860 CENTRAL AVE
Dunkirk, NY 14048
(716) 366-1188
✔ Accepts Medicare53 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Otolaryngology PC's NPI number?

The NPI number for Great Lakes Otolaryngology PC is 1588600522. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Great Lakes Otolaryngology PC located?

Great Lakes Otolaryngology PC is located at 2223 W State St Suite 102, Olean, NY 14760. The listed phone number is (716) 692-3302.

What is Great Lakes Otolaryngology PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Great Lakes Otolaryngology PC enrolled in Medicare?

Yes. Great Lakes Otolaryngology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Otolaryngology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Great Lakes Otolaryngology PC, in Nurse Practitioner, Otolaryngology and Qualified Audiologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Otolaryngology PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Great Lakes Otolaryngology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Otolaryngology PC was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.