Tristate OBGYN, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TRISTATE OBGYN, PC

Practice address

3337 Kirby Pkwy
Memphis, TN 38115-3816

Phone

(901) 590-4428

Fax

(901) 249-5827

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Stephen Ehiremen, MDNPI 1699963249

Title

President

Phone

(901) 937-9549

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Eguabor Ehiremen, M.D.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
  • NPI 1699963249
  Medicare reassignment NPD Authorized official
• Lessley Lawson, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1629604566
  NPD
• James Cohen, DDS

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1639212137
  NPD (past)
• Jayanta Kumar Dirghangi, M.D.

  • Obstetrics & Gynecology Physician
  • Ashburn, VA
  • NPI 1548333636
  NPD (past)
• Antwanette Lakeisha Keys, MSN, APRN, FNP-C

  • Registered Nurse
  • Drew, MS
  • NPI 1508572926
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1104274091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "address_2": "DEPT 800",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380271377",
            "telephone_number": "901-590-4428",
            "fax_number": "901-249-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153816",
            "telephone_number": "901-590-4428",
            "fax_number": "901-249-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE OBGYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "EHIREMEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-9549",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q026152",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Max Triplett, M.D.
• Tristate Hospitalists PLLC
• Tristate Infusion, LLC
• Tristate Infusion, LLC
• Tristate Medical Group, PLLC
• Triumph Agility Care, LLC
• Terry M Trojan, D.D.S, M.S.
• Deni J Trone, PHARMD
• Dustin Trotman, MD
• Connor Davis Trott, DPT

• Obstetrics & Gynecology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.