Jaime Fetes (NPI# 1568627339, PAC ID# 6901971969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568627339 |
| PAC ID by PECOS | 6901971969 |
| Professional Enrollment ID | I20080826000666 |
| Full Name | Jaime Fetes |
| Organization Legal Name | GREAT LAKES PHYSICIAN PC |
| Address |
3850 Saunders Settlement Rd Sanborn NY 14132-9128 |
| Phone Number | 7168982800 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9133434269 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330005 | KALEIDA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 | 7168445000 | GREAT LAKES PHYSICIAN PC |
| 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 | 7168982800 | GREAT LAKES PHYSICIAN PC |
| Organization Legal Name | GREAT LAKES PHYSICIAN PC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Domagala | Physician Assistant | Great Lakes Physician PC | 500 Sterling Dr, Orchard Park, NY 14127-1573 |
| Michael Duff | Radiation Oncology | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Surjeet S Pohar | Radiation Oncology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Anthony R Ricottone | Urology | Great Lakes Physician PC | 500 Sterling Dr, Orchard Park, NY 14127-1573 |
| Kirsten Bishop | Physician Assistant | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Kevin J Barlog | Urology | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Karen A Pane | Nurse Practitioner | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Abeer Eddib | Obstetrics/gynecology | Great Lakes Physician PC | 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2591 |
| Brian D Rambarran | Urology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Katrina Michelle Vankouwenberg | Physician Assistant | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Street Address |
3850 SAUNDERS SETTLEMENT RD |
| City | SANBORN |
| State | NY |
| Zip | 14132-9128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Shields | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| James J Rinaldi | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Thomas Bevilacqua | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Surjeet S Pohar | Radiation Oncology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Kenneth D Pearsen | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Gail E Stokoe | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Brian D Rambarran | Urology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Katrina Michelle Vankouwenberg | Physician Assistant | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Matthew Stephen Thurman | Radiation Oncology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Andrew T Dunn | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dhiren K Shah | Radiation Oncology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Anthony G Notino | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Emily A Levandusky | Physician Assistant | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Jasbeer S Makhija | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Leanna Alexis Dibisceglie | Physician Assistant | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Jason Robert Pericak | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Daniel R Jacobson | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| William R Hampton | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Gregory A Czajka | Physician Assistant | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| John M Roehmholdt | Urology | Great Lakes Physician PC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Find all physicians in zip 14132 | |||
| City | SANBORN |
| Zip Code | 14132 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SANBORN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jaime Fetes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.