DR. EBENEZER AZUBUIKE NYENWE


Address: 1325 Eastmoreland Ave, Suite 370, Memphis, TN 38104-3519
Phone: 9017587888

DR. EBENEZER AZUBUIKE NYENWE (NPI# 1972721413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972721413
Entity Type Individual
Full Name DR. EBENEZER AZUBUIKE NYENWE
Credential MD
Practice Address 1325 Eastmoreland Ave
Suite 370
Memphis
TN 38104-3519
Mailing Address Po Box 1000
Dept # 457
Memphis
TN 38148-0001
Practice Telephone 9017587888
Practice Fax Number 9013875157
Mailing Telephone 9017587888
Mailing Fax Number 9013875157
Enumeration Date 2007-04-22
Last Update Date 2015-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
42527 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN BCBS 6038807 01
MS 03654763 05
TN 3000339 05

Office Location

Street Address 1325 EASTMORELAND AVE
SUITE 370
City MEMPHIS
State TN
Zip Code 38104-3519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447255526 Wendy L Dusenbury Nurse Practitioner 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 2005-06-16
1861935132 Gastroenterology Center of The Midsouth PC Non-Pharmacy Dispensing Site 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 2016-11-18
1881149029 Melody Jackson Chiropractor 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 2016-08-17
1356793327 Meredith Alexis Rone Nurse Practitioner 1325 Eastmoreland Ave, 335, Memphis, TN 38104-3519 2016-07-01
1073915823 Ut Methodist Physicians General Acute Care Hospital 1325 Eastmoreland Ave, Suite 460, Memphis, TN 38104-3519 2014-09-24
1740533595 Mallory J Hamsher Nurse Practitioner 1325 Eastmoreland Ave, Suite 550, Memphis, TN 38104-3519 2012-10-17
1538418389 Shekinah Jaquay Andrews Nurse Practitioner 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 2012-09-06
1750649646 Rebecca L Reasons Dietitian, Registered 1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519 2012-04-27
1548550320 Tracrw LLC H Clinic/Center 1325 Eastmoreland Ave, Memphis, TN 38104-3519 2011-04-13
1821397902 Thomas M Middleton Jr. Counselor 1325 Eastmoreland Ave, Ste 500, Memphis, TN 38104-3519 2011-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255953956 Endo 247 LLC Internal Medicine 5220 Park Ave Ste 202, Memphis, TN 38119-3549 2020-05-15
1063924280 Hughes Endocrinology LLC Internal Medicine 6005 Park Ave Ste 305, Memphis, TN 38119-5213 2017-10-27
1295925840 Saba Khayal Internal Medicine 6401 Poplar Ave Ste 400, Memphis, TN 38119-4806 2007-07-30
1891806238 Sonia Guerra Internal Medicine 6005 Park Ave Ste 902, Memphis, TN 38119-5219 2006-08-31
1770556268 John P Tetzeli Internal Medicine 5659 S Rex Rd, Memphis, TN 38119-3821 2006-02-07
1629621198 Value Global Medical Services LLC Internal Medicine 3960 New Covington Pike, Memphis, TN 38128-2504 2019-07-23
1568971232 Mason Gindt Internal Medicine 6027 Walnut Grove Rd Ste 307, Memphis, TN 38120-2128 2017-09-26
1033552492 Deirdre Jocelyn James Internal Medicine University of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 38163-0001 2013-04-16
1134462666 Anne Briton Craddock Wynn Internal Medicine 880 Madison Ave, Memphis, TN 38103-3409 2013-04-03
1629331079 Fariha Salman Internal Medicine 5659 S Rex Rd, Memphis, TN 38119-3821 2012-06-20
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Competitor

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City MEMPHIS
Zip Code 38104

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Dataset Information

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.

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