Active NPI
Endo 247 LLC
- Endocrinology, Diabetes & Metabolism Physician
- Memphis, TN
National Provider Identifier
1255953956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDO 247 LLC
- Practice address
- 5220 Park Ave Ste 202
Memphis, TN 38119-3549 - Phone
- (901) 744-3362
- NPI assigned
- May 15, 2020
- Last updated
- May 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cherechi C. Ogwo, MD
- Title
- Chief Manager/Provider
- Phone
- (901) 744-3362
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
5220 Park Ave Ste 202
Memphis, TN 38119-3549
Mailing address
875 W Poplar Ave Ste 23
#102
Collierville, TN 38017-2598
Phone (901) 744-3362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q057155 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
875 W Poplar Ave
Ste 23
Collierville, TN 38017
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endocrinology, Diabetes & Metabolism Physician
- Memphis, TN
- NPI 1720321060
-
- Registered Dietitian
- Memphis, TN
- NPI 1417646837
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1033829775
-
- Family Nurse Practitioner
- Germantown, TN
- NPI 1740024769
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1033727235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620259200000",
"number": "1255953956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 W POPLAR AVE STE 23",
"address_2": "#102",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172598",
"telephone_number": "901-744-3362",
"fax_number": "901-744-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 PARK AVE STE 202",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193549",
"telephone_number": "901-744-3362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDO 247 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-15",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A",
"authorized_official_last_name": "OGWO",
"authorized_official_first_name": "CHERECHI",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CHIEF MANAGER/PROVIDER",
"authorized_official_telephone_number": "901-744-3362",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q057155",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- En Route Transportation Services
- Enabling Technology Solutions LLC
- Jacqueline Marie Encalade, D.PH.
- Encompass Health Methodist Rehabilitation Hospital, LP (Encompass Health Rehabilitation Hospital of Memphis)
- Encompass Health Methodist Rehabilitation Hospital, LP (Encompass Health Rehabilitation Hospital of North Memphis)
- Endoc PC (Endocrine, Diabetes & Obesity Center PC)
- Endocrine Clinics & Research
- Endocrinology Associate of Memphis
- Endocrinology Associates of Memphis, PLLC
- Endocrinology Clinic, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.