Med-Var Surgery, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

242348 Issued in NY

Legal business name

MED-VAR SURGERY, PLLC

Practice address

15 Elizabeth Dr
Lockport, NY 14094-5226

Phone

(716) 341-3983

Fax

(716) 433-6388

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed M Ibrahim, MD

Title

Surgical Director

Phone

(716) 341-3983

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MohamedIbrahim,MD Other name

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1952666430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ELIZABETH DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945226",
            "telephone_number": "716-341-3983",
            "fax_number": "716-433-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ELIZABETH DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945226",
            "telephone_number": "716-341-3983",
            "fax_number": "716-433-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-VAR SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SURGICAL DIRECTOR",
        "authorized_official_telephone_number": "716-341-3983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "242348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02836482",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MohamedIbrahim,MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Worthington McLaughlin
• Colin J McMahon, MD
• Stacy Ann McMahon, MS OTR/L
• Cynthia Marie McPhaden, LMHC
• Katalin Monika Mechtler, DDS
• Medical Practice of Niagara PC
• Meghan McDonough NP in Psychiatry PLLC
• Mental Health Association in Niagara County, Inc.
• Megan Elizabeth Messer, DDS
• Michael Trombitas Services Inc.

• Surgery Physician in Lockport, NY
• Providers in Lockport, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.