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JAMESTOWN DIVISION
NPI 1639209067
Urology in Jamestown, NY

Active since March 06, 2007CLIA Certified · 2 labs
117 FOOTE AVE, JAMESTOWN, NY 14701(716) 338-9200(716) 338-9250 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jamestown Division NPPES

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

JAMESTOWN DIVISION (NPI 1639209067) is a healthcare organization registered as an urology in Jamestown, New York and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Peter J Walter, Physician Partner, as its authorized official.

NPPES Registry Identity

NPI1639209067
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameWESTERN NEW YORK UROLOGY ASSOCIATES, LLC
Location Address117 FOOTE AVEJamestown, NY 14701-6947
Mailing AddressPo Box 1094, Wholesale Lockbox Cd2Buffalo, NY 14240-1094 · (716) 488-1851
Phone(716) 338-9200
Fax(716) 338-9250
Organization SubpartYes
Authorized OfficialPeter J WalterPhysician Partner · (716) 488-1851
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 9, 2010
✔ NPI 1639209067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
117 FOOTE AVE, Jamestown, NY 14701
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Other Names 1

Other NameJamestown Division

Other Identifiers 3

Medicaid01417481NY
Medicare PINAA0101NY
Medicare PIN108727PA

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 of Compliance 33D2308520

Great Lakes Physicians, PC Dba Western New York Urology Associates · Jamestown, NY
Active · expires Mar 26, 2027
CLIA Number33D2308520
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Geary William
Laboratory Phone(716) 338-9200
Laboratory LocationGreat Lakes Physicians, PC Dba Western New York Urology Associates117 Foote Ave, Suite 200, Jamestown, NY 14701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D2241848

Great Lakes Physicians Dba Western New York Urology Associates · Jamestown, NY
Active · expires Sep 28, 2026
CLIA Number33D2241848
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorDr. Ryan G. White
Laboratory Phone(716) 338-9200
Laboratory LocationGreat Lakes Physicians Dba Western New York Urology Associates117 Foote Ave, Suite 100, Jamestown, NY 14701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

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

SHAYLA FREEBOROUGH FNP
Nurse Practitioner (Family)
117 FOOTE AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 338-9200
SURJEET POHAR MD
Radiology (Radiation Oncology)
117 FOOTE AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 338-9500
MR. DAVID B SMALLING RPA
Physician Assistant
117 FOOTE AVE, SUITE 100
JAMESTOWN, NY 14701
Chautauqua County (716) 338-9200
KIRSTEN BISHOP PA
Physician Assistant (Surgical)
117 FOOTE AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 338-9200
BENJAMIN B LUONG M.D.
Urology
117 FOOTE AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 338-9200
ERIC DAVID ARNONE M.D.
Urology
117 FOOTE AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 338-9200
REBECCA A MORTON PA-C
Physician Assistant
117 FOOTE AVE
JAMESTOWN, NY 14701
Chautauqua County (716) 338-9200
ICHABOD S JUNG MD
Urology
117 FOOTE AVE, SUITE 100
JAMESTOWN, NY 14701
Chautauqua County (716) 338-9200

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 Western New York Urology Associates, LLC's NPI number?

The NPI number for Western New York Urology Associates, LLC is 1639209067. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is also known as Jamestown Division.

Where is Western New York Urology Associates, LLC located?

Western New York Urology Associates, LLC is located at 117 Foote Ave, Jamestown, NY 14701. The listed phone number is (716) 338-9200.

What is Western New York Urology Associates, LLC's specialty?

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

Does Western New York Urology Associates, LLC hold CLIA laboratory certificates?

Yes. 2 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 Western New York Urology Associates, LLC was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.