MEDICARE: FOCUS SURGERY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	133V00000X	Registered Dietitian
3	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
4	2083B0002X	Obesity Medicine (Preventive Medicine) Physician
5	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1366190852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS SURGERY PLLC

Provider Business Mailing Address
First Line	:	2150 WEHRLE DR STE 300
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7099
Country	:	US
Telephone Number	:	716-453-5200
Fax Number	:	716-710-8075

Provider Business Practice Location Address
First Line	:	2150 WEHRLE DR STE 300
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7099
Country	:	US
Telephone Number	:	716-453-5200
Fax Number	:	716-710-8075

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. EYAD WOHAIBI
Credential	:	MD
Telephone Number	:	716-453-5200

Provider Enumeration Date	:	03/14/2022
Last Update Date	:	05/10/2022

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