Provider Demographics
NPI:1760461735
Name:JOBES, GREGORY A (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:A
Last Name:JOBES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:425 ESSJAY RD
Mailing Address - Street 2:STE 170
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5782
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:3900 N. BUFFALO ROAD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127
Practice Address - Country:US
Practice Address - Phone:716-995-1021
Practice Address - Fax:716-250-5961
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231416-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02564029Medicaid
NY161000580OtherUNITED HEALTHCARE
NY161000580OtherAETNA
NY161000580OtherNORTH AMERICAN PREFERRED
NY00026795601OtherUNIVERA
NY000527697001OtherHEALTH NOW
NY0412502OtherIHA
NY161000580OtherEMPIRE
NYP00159069OtherRR MEDICARE
NYI12637Medicare UPIN
NYRA2714Medicare PIN