Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Lakes Physician Practice PC

Internal Medicine Physician in Jamestown, NY · enumerated 2014 · authorized official Patricia Devlin, Sr.Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730599176

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Registry record

Entity type Organization (Type 2)

Legal business name Great Lakes Physician Practice PC

Practice address 15 S Main St, Jamestown, NY, 14701

Phone (716) 488-1877

Fax (716) 488-1986

Enumeration date May 7, 2014

Last updated in NPPES Feb 3, 2020

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Secondary

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Patricia Devlin

Title Sr.Director

Phone (412) 432-7469

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Great Lakes Physician Practice PC located?

The practice location on file with NPPES is in Jamestown, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-02-03. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-03.