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Great Lakes Physician Practice PC

NPI 1548668585ActiveOrganization· Internal Medicine· Silver Creek, NY

Internal Medicine in Silver Creek, New York, registered in NPPES in December 2014. The authorized official on file is Mark T. Ehalt, Director.

Overview

NPI1548668585
StatusActive
Entity typeOrganization
NPI issuedDec 8, 2014
Last updated in NPPESDec 8, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other internal medicine physicians in Silver Creek

All internal medicine physicians in New York