EGUOSA LLC (NPI# 1407382492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407382492 |
| Entity Type | Organization |
| Organization Name | EGUOSA LLC |
| Practice Address |
1300 Wesley Dr Memphis TN 38116-6426 |
| Mailing Address |
Po Box 1891 Collierville TN 38027-1891 |
| Practice Telephone | 9015163700 |
| Mailing Telephone | 9015163700 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | EGUNMWENDIA OGBEIDE (PRESIDENT) |
| Authorized Official Telephone | 9013777308 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | TN | Allopathic & Osteopathic Physicians | |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q02814 | 05 |
| Street Address |
1300 WESLEY DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306894860 | Corbi D Milligan | Internal Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2006-05-05 |
| 1669009007 | Emily Kyle Logan | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6499 | 2020-03-25 |
| 1326687328 | Joseph Nixon | Physician Assistant | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-12-23 |
| 1245884634 | Holly Elizabeth Loveland | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-07-24 |
| 1073173324 | Amanda Hart | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2019-06-18 |
| 1306316997 | Rateesha Q Mcleod | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-11-27 |
| 1952876427 | Srilatha Raghur | Emergency Medicine | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-10-10 |
| 1629562194 | Ebony Lashawn Williams | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2018-06-19 |
| 1558870014 | Molly West Mungle | Registered Nurse | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2017-09-27 |
| 1891220505 | Sonia Shaukat Shivani | Nurse Practitioner | 1300 Wesley Dr, Memphis, TN 38116-6426 | 2017-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710396486 | Amit Keith Correa | Internal Medicine | 1211 Union Ave Ste 300, Memphis, TN 38104-6655 | 2014-08-07 |
| 1598057168 | Lindsey Todd Lands | Internal Medicine | 1030 Jefferson Ave, Memphis, TN 38104 | 2011-05-13 |
| 1063744035 | William Hoath West | Internal Medicine | 6363 Poplar Ave, Suite 340, Memphis, TN 38119-4831 | 2010-02-02 |
| 1295778330 | Jason C Chandler | Internal Medicine | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428400 | Tennessee Oncology, Pllc | Internal Medicine | 1208 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-3989 | 2020-08-18 |
| 1538324587 | Stephen Benjamin Cantrell | Internal Medicine | 2001 Mallory Ln Ste 103, Franklin, TN 37067-8234 | 2008-07-18 |
| 1487825600 | Laura Vanini Grobovsky | Internal Medicine | 1929 Lone Oak Rd, Johnson City, TN 37604-3404 | 2008-03-14 |
| 1043408578 | Mailien Reed Rogers | Internal Medicine | 111h Building 8 Dogwood Avenue, James H Quillen Va Medical Center, Johnson City, TN 37601 | 2007-10-10 |
| 1912103425 | Jill Rene Tichy | Internal Medicine | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2007-06-22 |
| 1518052166 | Athens Physicians Practice LLC | Internal Medicine | 705 Cook Dr Ste 201, Athens, TN 37303-3494 | 2006-10-03 |
| 1801908223 | Timothy J Panella | Internal Medicine | 1926 Alcoa Hwy Ste 410, Knoxville, TN 37920-1545 | 2006-08-31 |
| 1306869110 | Robert E. Enck | Internal Medicine | #1 Professional Park Dr., Suite 21, Regional Cancer Center, Johnson City, TN 37604 | 2006-07-25 |
| 1578597704 | Ruth E Lamar | Internal Medicine | 4488 Carothers Pkwy Ste 300, Franklin, TN 37067-6583 | 2006-07-11 |
| 1801826185 | Stuart C Spigel | Internal Medicine | 103 Natchez Park Dr, Ste 103, Dickson, TN 37055-9013 | 2006-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.