GREAT LAKES PHYSICIAN, PC
NPI 1720045792
Urology in Cheektowaga, NY

Q: What is Great Lakes Physician, PC's NPI number?

The NPI number for Great Lakes Physician, PC is 1720045792. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider was formerly known as Western New York Urology Associates LLC.

Q: What is Great Lakes Physician, PC's specialty?

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

Active since April 26, 2006

3085 HARLEM RD, SUITE 350, CHEEKTOWAGA, NY 14225(716) 844-5000(716) 844-5050 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Great Lakes Physician, Pc NPPES

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

GREAT LAKES PHYSICIAN, PC (NPI 1720045792), doing business as Western New York Urology Associates Llc, is a healthcare organization registered as an urology in Cheektowaga, New York and active in the NPI registry since April 2006. The organization lists K Kent Chevli, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1720045792

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameGREAT LAKES PHYSICIAN, PC

Location Address3085 HARLEM RD, SUITE 350Cheektowaga, NY 14225-2591

Mailing Address3085 Harlem Rd, Suite 350Cheektowaga, NY 14225-2591 · (716) 844-5000 · Fax (716) 844-5050

Phone(716) 844-5000

Fax(716) 844-5050

Organization SubpartNo

Authorized OfficialK Kent ChevliManaging Physician · (716) 844-5600

Enumeration DateApril 26, 2006

Last NPPES UpdateApril 25, 2017

✔ NPI 1720045792 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

3085 HARLEM RD, Cheektowaga, NY 14225

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Other Names 1

Former Legal Business NameWestern New York Urology Associates Llc

Other Identifiers 1

Medicaid03869087NY

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.

DR. MICHAEL DUFF M.D.

Radiology (Radiation Oncology)

3085 HARLEM RD, STE 100
CHEEKTOWAGA, NY 14225

Erie County (716) 844-5500

KEVIN J BARLOG M.D.

Urology

3085 HARLEM RD, STE 200
CHEEKTOWAGA, NY 14225

Erie County (716) 844-5000

MS. KAREN ANNE PANE ANP

Nurse Practitioner (Adult Health)

3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225

Erie County (716) 844-5000

APEX IMAGING I, P.C.

Radiology (Diagnostic Radiology)

3085 HARLEM RD
CHEEKTOWAGA, NY 14225

Erie County (716) 859-2954

INTEGRATED CLINICAL SERVICES

Urology

3085 HARLEM RD, STE 350
CHEEKTOWAGA, NY 14225

Erie County (716) 844-5600

DR. K KENT CHEVLI M.D.

Urology

3085 HARLEM RD, STE 200
CHEEKTOWAGA, NY 14225

Erie County (716) 844-5000

DR. ABEER EDDIB MD

Urology (Urogynecology and Reconstructive Pelvic Surgery)

3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225

Erie County (716) 844-5000

MR. DANIEL PHILIP REED P.A.

Physician Assistant

3085 HARLEM RD, SUITE 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 Physician, PC's NPI number?

The NPI number for Great Lakes Physician, PC is 1720045792. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider was formerly known as Western New York Urology Associates LLC.

Where is Great Lakes Physician, PC located?

Great Lakes Physician, PC is located at 3085 Harlem Rd Suite 350, Cheektowaga, NY 14225. The listed phone number is (716) 844-5000.

What is Great Lakes Physician, PC'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 Physician, PC was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.