Organization Active NPI

Wound Medical Care of Wny PLLC

  • Internal Medicine Physician
  • Batavia, NY
National Provider Identifier
1831608033
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WOUND MEDICAL CARE OF WNY PLLC
Practice address
229 Summit St
Batavia, NY 14020-1645
Phone
(585) 344-4440
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohamed Ibrahim
Title
MD/Owner
Phone
(716) 689-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

229 Summit St
Batavia, NY 14020-1645

Mailing address

405 N French Rd Ste 104
Amherst, NY 14228-2010
Phone (716) 689-1901

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1831608033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N FRENCH RD STE 104",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282010",
            "telephone_number": "716-689-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SUMMIT ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201645",
            "telephone_number": "585-344-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND MEDICAL CARE OF WNY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "716-689-1901",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.