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CHAUTAUQUA MEDICAL PRACTICE, P.C.
NPI 1922181767
Family Medicine in Bemus Point, NY

Active since October 23, 2006CLIA 33D0966363 · Waiver
4936 MAIN ST, BEMUS POINT, NY 14712(716) 386-2414(716) 386-2437 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 30, 2020, May 14, 2019 (2 updates tracked since 2019).

About Chautauqua Medical Practice, P.c. NPPES

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

CHAUTAUQUA MEDICAL PRACTICE, P.C. (NPI 1922181767) is a healthcare organization registered as a family medicine in Bemus Point, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Paul S Holley, Md, as its authorized official.

NPPES Registry Identity

NPI1922181767
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHAUTAUQUA MEDICAL PRACTICE, P.C.
Location Address4936 MAIN STBemus Point, NY 14712
Mailing AddressPo Box 470, 4936 Main StBemus Point, NY 14712 · (716) 386-2414 · Fax (716) 386-2437
Phone(716) 386-2414
Fax(716) 386-2437
Organization SubpartNo
Authorized OfficialPaul S HolleyMd · (716) 386-2414
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1922181767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 204064
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4936 MAIN ST, Bemus Point, NY 14712
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Other Names 1

Doing Business AsChautauqua Medical Practice, P.c.

Other Identifiers 1

Medicaid01669929NY

Group Practice 2

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

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 of Waiver 33D0966363

Chautauqua Medical Practice PC · Bemus Point, NY
Active · expires Mar 26, 2027
CLIA Number33D0966363
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Paul S. Holley
Laboratory Phone(716) 386-2414
Laboratory LocationChautauqua Medical Practice PC4936 Main St, Bemus Point, NY 14712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CATHERINE A GILLESPIE RPAC
Physician Assistant (Medical)
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
HOLLY ALEXIS REED FNP
Nurse Practitioner (Family)
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
PAUL S HOLLEY M.D.
Family Medicine
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
SAMANTHA LYNN KAPUSCINSKI CRNP
Nurse Practitioner (Adult Health)
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414

Frequently Asked Questions

What is CHAUTAUQUA MEDICAL PRACTICE, P.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1922181767, enumerated as an "organization" on October 23, 2006.

Where is the provider located?

The provider is located at 4936 MAIN ST BEMUS POINT, NY 14712 and the phone number is (716) 386-2414.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does CHAUTAUQUA MEDICAL PRACTICE, P.C. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.